This month’s winner is the one and only ablumenberg, whose intimidatingly thorough answer frightened off all other contenders. Recap Older lady, many medical problems, here for epigastric discomfort now with acute decompensation as evidenced by her tachycardia and diaphoresis…
A 58 year old woman with a long medical history – paroxysmal afib, not on anticoagulation, hyperthyroidism secondary to graves disease, and GERD who presents for the third ED visit in 1 month for epigastric pain. At her first visit, she improved…
By Dr. Michelle DiMare These days, the Pediatric ED is frequently filled with the cutest, most snot filled kids you’ve ever seen. With most of them reporting some degree of cough and fever, pneumonia is frequently considered on our differential…
You see an 18 year old basketball phenom who stands a mere 6’11” tall. He complains of sudden onset chest pain lasting minutes after a deep inhalation that may or may have been related to marijuana use. On his chest…
After managing the ABC’s for a STEMI patient, you find out the cath lab is being used and cards cannot take the patient yet. You go back to reassess and the monitor shows a wide complex tachycardia at a rate…
ECG STEMI Basics Please describe: 1. What and where the pathology is 2. Where you would see reciprocal changes 3. Which artery is blocked, and 4. What other ECG’s are indicated. By Dr. Brenda Oiyemhonlan, Dr. Andrew…
CC: A 60 yo Abe Simpson (father of homer) with a past medical history of htn and anxiety presents to your ED for severe epigastric abdominal pain… HPI: While straining during a bowel movement earlier, the patient suddenly…
Samwise Gamgee presents to your Emergency Department after an ankle injury. He was in the Mines of Moria when a flock of bats flew all around him and he fell, twisting his ankle. He doesn’t think he got any bites…