A 38-year-old male with no history presents to the ED for dental bleeding. He was at the dentist earlier today for a simple tooth extraction but noticed that the bleeding has not stopped. He complains of only mild pain at the extraction site and has never had issues with bleeding before. On inspecti...
A 63-year-old male presents to the ED complaining of sudden onset shortness of breath for the past 2 hours. He has a history of CAD, HTN, and T2DM He states that he has been compliant with his medications. BP 97/68, HR 108, RR 21, 92% RA. Physical exam is notable for a holosystolic murmur most promi...
A 60-year-old female presents to the ED with an impaled object in her arm. She stabbed herself in the left arm as an act of self-harm, prior to calling EMS. The object was wrapped in gauze by EMS. On ED evaluation, she is stable and alert and oriented. On your primary and secondary evaluation, there...
A 23-year-old female with no past history presents with prolonged bleeding from her tooth extraction earlier the same day. Her dentist was planning on removing all her wisdom teeth but stopped after the first extraction due to inability to achieve hemostasis. She has never experienced this kind of b...
A 17-year-old male with no past medical history presents to the ED with a complaint of right ear fullness and hearing loss which has been present for the last month. He reports that he tried to clean out his ear 3 days ago with a cotton-tipped swab but has had worsening of the pain and hearing loss ...
A 30-year-old male presents to the ED via EMS with severe hip and groin pain after an accident. He denies loss of consciousness, is not on any blood thinners, and currently complains of pain in his hips/groin. Initial assessment on arrival includes vital signs BP 134/86, HR 94, RR 16, SpO2 98% on r...
A 28-year-old male presents as a transfer from an urgent care with report of left-hand injury. He is a construction worker and was using a table saw when he injured his left hand. The amputated part is wrapped in a plastic bag. He is right-handed. He has extensive injuries to the left hand, including amputation. What’s the next step in your evaluation and treatment?
A 73-year-old male with a history of hypertension presents to the ED with a 2-month history of hiccups. He reports difficulty eating and sleeping secondary to hiccups. He has tried multiple maneuvers from breath holding to biting lemons to drinking water upside-down. His vital signs and exam are normal, including neurologic exam. What is your diagnosis?
