Category Name: em@3am

em@3am

EM@3AM: Oculomotor Nerve Palsy

A 50-year-old female with no past medical history presents to the ED with a diffuse, constant headache onset a few weeks. The patient describes droopiness of the left eye and double vision associated with specific directional movements of the eye. On exam, you note ptosis of the left eye with findin...

em@3am

EM@3AM: Liver Transplant Complications

A 32-year-old female with a history of hypertension and autoimmune hepatitis status post liver transplant 6 weeks prior on tacrolimus and mycophenolate presents to the ED with abdominal discomfort. For the past two days, she describes worsening pain and intermittent vomiting. She came today because ...

em@3am

EM@3AM: Testicular/Scrotal Abscesses

A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. He reports approximately one month of dysuria, and around two weeks ago noticed a dull aching sensation in his testicles that has progressively gotten worse. He came to the ED because he now has a fever, chills, and nausea along with his testicular pain.

em@3am

EM@3AM: Basilar Artery Occlusion

A 68-year-old male with a past medical history of hypertension, diabetes mellitus, and CAD with a drug eluting stent placed 2 months ago presents with dizziness and vomiting that began 3 hours ago. He has been having “issues with [his] eyes” today and “not feeling quite right.”  Vital sign...

em@3am

EM@3AM: Crush Injury

A 17-year-old girl, in moderate distress, is brought in by EMS after a motor vehicle collision. EMS reports that she was “pinned” underneath the dashboard, and it took several hours to extricate her. Triage vital signs significant for BP 103/69, HR 99, SpO2 99% on 2 L NC, RR 25, Temp 98.6. She h...

em@3am

EM@3AM: Brugada Syndrome

A 36-year-old female presents to the ED after experiencing an episode of sudden syncope. The patient has no significant past medical history, and reports that she was walking to the end of her driveway to retrieve her mail when she suddenly collapsed to the ground. She recalls waking up on her drive...

em@3am

EM@3AM: Extensor Tendon Laceration

A 35-year-old right handed male with no significant past medical history presents with a deep hand laceration. The patient states they suffered a cut with a box cutter at a construction site. He presents to the ED with profound difficulty extending his middle and ring finger and a laceration over the extensor surface. What is the diagnosis?

em@3am

EM@3AM: Oropharyngeal Candidiasis

A 32-year-old male with HIV presents to the ED for loss of taste. He noticed white plaques on his tongue. Although painless, the plaque is associated with a cotton sensation and a dull sense of taste. The patient reports being compliant with his medications and denies other symptoms. His tongue is c...