A 65 year old Female Presents to the ED with a complaints of severe chest pain. Her medical history is significant for HTN, DM, HLD. The patient states the pain started after she was told Derek Jeter was going to retire Her EKG is below As…
What is the Differential Diagnosis for the following EKg Differential Diagnosis of ST Elevation 1. Myocardial Infarction 2. Printzmetal’s angina 3. Male Pattern – being a man – the more manly, the hi…
30 yo F presents c/o bite wound to her face by her pet cat. The cat was nervous because she was in a new home, otherwise the cat did not exhibit any unusual behavior and has all its vaccines. The patient is uptodate with vaccines as well. T…
A 33 yo man presents to the ED with multiple complaints 2 hours after completing a scuba dive. Which of the following symptoms indicates a need for recompression therapy? Decreased hearing Ear pain Epistaxis Knee pain Petechial rash
65 yo M PMH of HTN, CAD, CHF (EF <30%), AICD wheeled into the cardiac room saying that he is getting shocked every 30 seconds. Vitals: T 36 HR 45 BP 205/100 RR 30 O2 sat 100% RA. Pt is placed on a monitor, EKG done which shows atrial fib…
A 29 year old male resident presents to the local emergency department directly from the residency ski trip. He was cruising down the slopes at high speed, hit a hidden patch of ice and fell onto his right hand, hyperextending his thumb….
39 y/o F presents to your ED after a bite from a squirrel. She was attempting to feed to squirrels in Central Park when one of them bit down hard on the index finger of her dominant hand, drawing blood. She does not report any unusual beh…
34 yo M BIBA s/p fall from 3 stories, suicidal attempt. Pt is AO3, CTA b/l, pelvis stable, able to lift all extremities off stretcher, sensation and peripheral pulses intact. Pt has right lateral heel/ankle deformity. +step off L1-L2 area,…
An 8 month pregnant female arrives to the ED complaining about dysuria. She is nontoxic appearing, afebrile. Exam significant for +suprapubic tenderness, -CVA tenderness. UA +leuks, +nitrates. 1) What antibiotic regimen should she be starte…
An 18 year old female presents to the ED with vague symptoms of lower back pain. She exhibited inappropriate and erratic behavior that seemed more than just teenage angst. The patient was thin in NAD and had a grossly normal musculoskeletal…
A 46 year old female with a history of rheumatoid arthritis, on daily steroids, presents complaining of abdominal pain, nausea, and vomiting x 5 days. She has been unable to tolerate PO, including her medications for the past three days. Up…
A 22 year old male is brought into the ED by EMS, after being pulled out of the lake in Central Park. He had been walking on the ice when it broke, and he fell into the water. His friends were able to drag him to shore. As per EMS, he was f…
After a four hour football game in Denver in the sleet, -21 degrees with windchill, a player took off his cleats in the locker room and reported that his feet felt numb. The trainer noted bilateral white extremities with an area of ecchymos…
A group of employees present from the billing office complaining of headache and dizziness. Because it’s been so cold recently, one of them brought in a space heater to keep under her desk. What are you concerned about? How would you…
A 53 year old man presents with severe sudden onset pain in his left eye associated with nausea and cloudy vision. He describes seeing halos around lights. His symptoms started when he entered a dark nightclub where he was planning to celeb…
