46 yo F pmh right carpal tunnel release 6 months ago presents with intermittent swelling, pain as in burning, feelings of warmth and cold, and hypersensitivity to right hand worsening over past 6 month. What is the diagnosis ? treatment?
3 month old infant that was born full term, NSVD w/o complications presents with seizure like activity to your ED. Pt is afebrile with normal vitals however lethargic and not actively seizing. Off the blood gas you note a Na of 113. What mu…
26 M pmh sickle cell disease p/w chest pain, sob, fever, and cough. She is noted to be hypoxic, anemic and has new pulmonary infiltrates on cxr. What diagnosis must be considered? A: Acute chest syndrome “Acute chest syndrome i…
28 yo obese AA F pmh sickle cell disease comes in complaining of b/l leg pain similar to her prior pain crises. She states that she normally takes 8 mg morphine IV to control her pain however your hospital has a morphine shortage. Wh…
28 yo M with no pmh presents with HA, fever, and neck stiffness. He states that he recently came back from a week long business trip to Dallas. You get a CTH that is wnl and LP with results below. Pressure Normal Appearance Clear Protein…
A previously healthy 28 yo F presents to your ED with HA, myalgias, abdominal cramps, nausea, vomiting, and diarrhea. She reports recent trip 2 weeks ago to Yosemite National Park where she was camping with her boyfriend. Pt is coughing, so…
If you aren’t a member of the Ultrasound Section or ACEP this is a great reason to become one. Mike Stone with help from Phil Perera and no doubt others have built a forum where you can find all of the most pertinent dis…
A 9 day old infant is brought to the ED with difficulty breathing and poor feeding for one day. Pt is found to be tachypneic, mottled, with peripheral cyanosis and no palpable LE pulses. What’s your diagnosis? What should you do?
Review of Classif ication of Misscarriage: Threatened Ab: 3.4 to 17% with confirmed FHR by. Rates higher without. References: Tannirandorn Y, Sangsawang S, Manotaya S, et al. Fetal loss in threatened abortion after embryonic/fetal heart a…
60F with fatigue and decreased alertness. What is the diagnosis?
A nursing home patient presents critically ill with respiratory distress, severe abdominal distension, ascites and oliguria. You are concerned for abdominal compartment syndrome. How will you make the diagnosis?
Look familiar? This is the yesterday’s ECG taken from Sgarbossa et al. 1996. Is this a true LBBB?
68F with chest pain. No prior ECG. What is going on here?
A 29 y/o female with NIDDM and poorly controlled chronic asthma present s with 3days of sob and wheezing typical of her prior asthma exacerbations. After two nebulizer treatments and dose of corticosteroids her PEFR is measured at 55% of p…
A 44 year old female with HTN, DM, and psychiatric disease presents with non-traumatic pain and vision loss in her right eye for 12 hours. She has a right sided throbbing headache. On exam she has a 5mm R pupil which is sluggish to react,…
