Thank you to Dr. Chris “This Ain’t No Simulation” Strother. 3 kids, 3 head injuries. A) 2-month old boy, fell out of baby carriage onto top of head 30 minutes ago. No LOC, seizure, vomiting. Acting normally p…
3yo male h/o RAD presents with a nasal foreign body. After a few conservative efforts to remove the FB, it is apparent the child will not be able to cooperate with further attempts. A line is placed and 1mg/kg ketamine is given IV. While…
Shout out to Ben Slovis for providing this case. 22F s/p thyroidectomy here with 1 day back pain and generalized weakness. Patient’s thyroidectomy was complicated by inadvertent parathyroidectomy, and never followed-up to mana…
Courtesy of Dr. Elikashvili. 20 month old female is BIBEMS after seizure at home just prior to presentation. Mother describes “10 minutes” of what sounds like generalized tonic-clonic movements. No h/o seizures. Child w…
23F h/o asthma is brought in from home s/p seizure. She is currently altered, but her grandparents (whom she lives with and witnessed the seizure) are at the bedside. They deny a history of seizures and report no preceding fever. An agile E…
19M brought into pediatric resus looking toxic, diaphoretic with shallow breathing. Temp 38.7, HR 126, BP 146/51, RR 20, 95% on RA. Two weeks ago he had a sore throat which was strep and monospot negative. He’s had a persistent so…
A middle aged male p/w L-great toe pain for 3days, unresponsive to acetaminophen and ibuprofen. He denies fever or other complicating sx. On exam, the medial aspect of the L-great toe is erythematous w/TTP. No areas of fluctuance are apprec…
A young lady presents to your ED a few hours after a fist fight, c/o L-eye pain. She does not wear contacts and has tried ice and ibuprofen for the pain but noticed her eye was very red, so she came in for help. You do a complete eye exam,…
A young lady is brought by friends on a makeshift stretcher. They have leaves in their hair and look frantic. They report that the patient went behind a tree to urinate, while on a hiking trip, and screamed after being bit on her L-forearm…
A middle aged man presents to the ED after almost 2days of penile pain and swelling. The sx started suddenly, during intercourse and he didn’t present until now 2/2 embarrassment. But now the pain has not abated, the condition has no…
An elderly man presents with new bloody urine x2days and abdominal distention/fullness. He noticed some clots prior to presentation and now hasn’t urinated x5hours despite a real urge to micturate. He has a h/o BPH and is on coumadin…
A middle-aged G3P2 presents at 19wks gestation c/o abd pain that started early this AM. She had some nausea but no vomiting, a subjective fever and no loose or frequent stools. Your differential is broad but at the top is appendicitis. You…
A middle aged man p/w constipation x4days, no n/v/fever. He is on methadone 120mg PO qday, chronically, 2/2 h/o IVDU. He has tried lots of OTCs, as well as prune juice and metamucil w/o relief. How can you help?
A middle aged woman p/w R-shoulder pain after falling on her outstretched arm. You order a plain film to eval for fracture or dislocation. What do you see?
A teenaged woman presents at 32weeks gestation, c/o fingertip pain after experiencing a brief electric shock at home. How do you evaluate and care for this patient?
