A few of the questions in your mind should at least be: what is most likely to kill this patient, do I need to get a CT of the head, does he need a lumbar puncture, does he need any urgent medications, and what labs should I order?
CC: Headache First visit HPI: 29 year old female with a prior history of headaches, presented with two days of gradual onset, atraumatic, right sided headache that is throbbing in nature. The patient reported heaviness about the eye but no visual changes or disturbances. No neck pain, fevers, chil...
Chief Complaint: “Seizures” History of Present Illness: 25-year-old male with no PMHx, BIBEMS after he had episode of tonic-clonic seizure. As per wife, who gave medical history, the patient was found down in a hotel with "his whole body shaking." Upon EMS arrival, he was given 5mg of Valium....
Karalynn Otterness, MD presents a case of a patient presenting with chest pain who has a crucial finding on the initial ECG.
We're grateful to Mathew Miskimon, MD PhD for providing this morbidity and mortality (and improvement!) case from Janus General. Includes a nice discussion at the end on the systemic factors contributing to the outcome.
A diagnostic dilemma from the case files of Janus General. The presentation of this clinical zebra is provided by one of our esteemed editors, Adaira Landry, MD (@AllAroundDoc).
"Weinstock describes gastroenteritis bluntly as 'the refuge of the intellectually destitute'"From the case records of Janus General Hospital, we bring you the first in our series of bouncebacks. Tommy Swanson, MD describes the initial and subsequent visits of a 61 year old female with abdominal discomfort.
