Category Name: em@3am

em@3am

EM@3AM: Bartholin’s Abscess

A 36-year-old female presents to the ED with vaginal pain. She initially noticed a small bump one week ago that was only painful with sexual intercourse, but it has grown and now causes discomfort even when walking. Her temperature is 98.9oF, heart rate 78, and blood pressure 126/84. On exam she has...

em@3am

EM@3AM: Infectious Mononucleosis

A 17-year-old male with history of asthma presents to the ED with a chief complaint of sore throat for the past 3 days, associated with decreased oral intake. He denies sick contacts. Vital signs include Temp 100.6F, BP 124/78, HR 92, RR 16, 96% on RA. On exam the patient has swollen, erythematous t...

em@3am

EM@3AM: Sigmoid Volvulus

A 75-year-old male with 4 days of abdominal distention, constipation, and decreased PO intake due to nausea. He reports that his symptoms are worse after eating or drinking and that he is able to pass gas but has not had a bowel movement in the past 4 days.  On initial presentation to the ED, he a...

em@3am

EM@3AM: Splenomegaly

A 20-year-old female presents to the ED with "abnormal results" found on a CT scan. She was feeling well until approximately 2 weeks ago when she began to have fatigue, malaise, loss of appetite and abdominal discomfort. She saw her primary care doctor who ordered an outpatient CT scan of her abdome...

em@3am

EM@3AM: Monkeypox

A 26-year-old female patient comes to the ED with an 8-day history of progressive weakness, fevers, and body aches. She reports that 4 days ago she noticed “bug bites” on her face, neck, arm, and hands. Sixteen days ago, she returned from a trip to Los Angeles where she shared a bed with her fri...

em@3am

EM@3AM: Pertussis

A 3-month-old male presents with persistent fever, decreased oral intake, and worsening cough associated with post-tussive emesis for the five days. Parents state that the patient’s older sibling has had similar symptoms for the past two weeks and that neither child has received vaccinations after...

em@3am

EM@3AM: Crack Lung

A 45-year-old male with a history of cocaine use presents to the ED with one day of worsening shortness of breath, cough, and fever. He is coughing up sputum streaked with blood. He endorses smoking crack cocaine the night before his symptoms started but denies injecting, using other drug use, or va...

em@3am

EM@3AM: Dental Bleeding

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...