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…
A 79 year old female presents the day after the New York Marathon, complaining of a painful R big toe. She wore old sneakers to run the race, her 50th marathon, and feels that her toe may have rubbed up against the toe box of the shoe. How…
39 y/o M no significant past medical history presents with severe right sided occipital headache since this morning. The pain comes and goes, lasting a few minutes each time. He has had these headaches before, and feels that this episode…
A 25 year old male basketball player presents with R eye pain after being elbowed in the eye one hour prior to arrival. The eye is tearing and very painful, although his vision is preserved, and he feels that something may be stuck in the…
A 25 year old rugby player presents with R thumb pain that began yesterday. She reports that she was trying to make a tackle and was stiff-armed. She fell to the ground, landing on an outstretched hand. Her pain is localized to the MCP join…
A 25 year old male was brought into the ED after his shirt caught on fire when he accidentally leaned back while sitting near a fireplace. He has partial-thickness burns on his entire back and the posterior aspect of both arms. He weighs 85…
A 12 year old patient with sickle cell disease presents to the ED with painful erection x 5 hours. Urology is paged and suggests fluids, high flow oxygen, compresses to the area and exchange transfusion. They do not wish to aspirate blood…
An 8 year old female is brought in by her mother after falling off her scooter one hour ago. She was not wearing a helmet, and hit her head on the ground. Patient and mother deny LOC. On exam, she is well-appearing, playing with her mother…
A 56 y/o male with poorly controlled diabetes s/p multiple toe amputations presents with several days of fever and foot pain. He is tachycardic and hypotensive and appears to have an infected foot ulcer. Vascular surgery is paged, and agre…
QTip: Some patients who are discharged with few or no diagnostics (e.g. xray) or treatments (e.g. antibiotics) feel as though their evaluation was inadequate. Taking an extra minute or two to explain why these interventions aren’t ind…
