Category Name: em@3am

em@3am

EM@3AM: Orbital Cellulitis

A 12-year-old male is brought to the ED by his mom for right eye swelling and pain. The patient reports pain with extra ocular motion and decreased vision in the right eye. You see extensive right eyelid swelling. What’s the next step in your evaluation and treatment?

em@3am

EM@3AM: Mesenteric Ischemia

A 65-year-old male with a history of paroxysmal atrial fibrillation presents with diffuse, severe abdominal pain after eating. He is not on anticoagulation. He has had some bloody stool. What do you need to consider, and what’s your next step in your evaluation and treatment?

em@3am

EM@3AM: Pelvic Ring Fracture

A 23-year-old male is brought in by EMS from the scene of a severe accident. He is hypotensive and tachycardic, with a mangled right lower extremity and right upper extremity. EMS applied a tourniquet to both the right upper and lower extremity. Your initial primary survey reveals properly placed to...

em@3am

EM@3AM: Pericarditis

A 52-year-old male presents to the ED with chest pain that is left sided, sharp, and worse at night when he is resting flat. It is different from his prior angina. Physical exam is normal, and ECG shows diffuse ST elevations and PR segment depressions. What is the diagnosis?

em@3am

EM@3AM: Lyme Disease

A 35-year-old male presents for intermittent fevers, abdominal pain, and headaches for 3 weeks. On further questioning, he also states he has arthralgias. Review of systems is remarkable for a recent camping trip in the Boundary Waters Canoe Area of Minnesota. You find a bulls-eye rash on his trunk. What are your next steps?

em@3am

EM@3AM: Spontaneous Intracerebral Hemorrhage

A 65-year-old male presents with altered mental status and right sided weakness. Symptoms began approximately two hours earlier when the patient began to complain of a severe headache. He has become more confused and is now unable to walk normally. Vital Signs: BP 202/98, HR 89, RR 12, T 36.7, SpO2...

em@3am

EM@3AM: Hemoptysis

A 55-year-old male presents with shortness of breath, cough, and blood-tinged sputum. He states that he has been fighting off a cold over the past week, but noticed increasing cough over the past several hours, sometimes tinged with blood. He denies any other symptoms, appears well, and has a normal pulmonary, cardiovascular, and extremity exam. What are your next steps?

em@3am

EM@3AM: Methanol Toxicity

A 62-year-old male brought in by EMS for altered mental status and complaints of visual disturbances. Per the EMS report, the patient had homemade moonshine found in his living room. The patient is confused and states his vision is globally diminished as if he were looking through a snowstorm. He al...