Category Name: em@3am

em@3am

EM@3AM: Myocarditis

A 18-year-old male presents with chest pain and shortness of breath for several days. Approximately one week prior he was suffering from myalgia, congestion, sore throat, and fever and was diagnosed with an upper respiratory infection. Today his vitals are HR 132, RR 28, BP 92/48, T 37.8 C, and Sats 95% on RA. What should you consider, and what are your next steps?

em@3am

EM@3AM: Urinalysis/Urine Dipstick Components

A 62-year-old ­­­­­­­­­female patient presents with dysuria and frequency. You quickly order a urine dipstick. What do you need to consider when interpreting the urine dipstick/urinalysis?

em@3am

EM@3AM: Diabetic Foot Ulcer

A 58-year-old morbidly obese female patient with uncontrolled diabetes and peripheral arterial disease presents with an open wound to the central plantar aspect of her foot. She reports no pain, does not recall an injury, and is not sure how long she has had the ulcer. On exam, there is a 3.5 cm c...

em@3am

EM@3AM: Pulmonary Hypertension

A 65F presents to your ED with chest pain and shortness of breath. Her symptoms have been going on for several months and have been progressively worsening. She states that she has felt this way since she was diagnosed with a “blood clot in her lungs” several months ago. VS include T 37.5C, HR 1...

em@3am

EM@3AM: Henoch-Schonlein Purpura (HSP)

A 6-year-old male presents with rash, joint pain, and abdominal pain. VS are normal, and exam reveals palpable purpura in the lower extremities. His abdomen is not tender to palpation, and his testicles are normal. Platelets and coagulation panel are normal. What is the diagnosis?

em@3am

EM@3AM: Synthetic Cannabinoid Intoxication

A 20-year-old male college student arrives by ambulance restrained in a stretcher. Members of his fraternity called the police saying he became violent and agitated after "burning incense". He is hypertensive and tachycardic with a normal blood glucose. What is the diagnosis, and what are your next steps?

em@3am

EM@3AM: Necrotizing Fasciitis

A 50-year-old male with uncontrolled diabetes presents with pain and swelling in his right foot.  He does not recall any injury to the foot or leg.  On exam, crepitus is noted on the foot and ankle. What is the diagnosis, and what are your next steps?

em@3am

EM@3AM: Open Globe Injury

A 26-year-old male groundskeeper is sharpening a rusty lawnmower blade without eye protection when he feels a sudden pain and loss of vision in his right eye. What is the diagnosis, and what are your next steps?