A 37-year-old G2P2 female presents to the ED with a 2-day history of intermittent fever and foul-smelling vaginal discharge. She was discharged 3 days prior after a cesarean delivery to a single, full term, live born infant complicated by premature rupture of membranes. She notes associated chills a...
A 37-year-old G5P4 at 33 weeks presents to the ED after being brought in by ambulance. She had a precipitous delivery while the ambulance was pulling in. The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. VS include BP 88/45, HR 121, T 97.1, RR 28, SpO2 8...
A 27-year-old male presents to the ED for left eye pain after being hit in the face with a spare car part while working under the hood of his car. He states his vision is slightly blurred, and he is experiencing significant pain. Physical exam reveals conjunctival injection, a red rim circumscribing his iris, and photophobia. What is the diagnosis, and how do we manage it from the ED?
A 70-year-old female with past medical history diabetes mellitus, hypertension, hyperlipidemia, dementia presents from nursing home with acute unilateral swelling along the left side of her face. She is breathing comfortably but seems to experience significant pain at the associated site of swelling...
A 74-year-old female presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3, RR 3, SpO2 95% on 15L non-rebreather mask. Symptoms started acutely about 15 minutes prior to arrival. On exam, the patient opens eyes to voice, has extraocu...
A 68-year-old male with a history of poorly controlled diabetes presents to the ED with increasing right-sided ear and facial pain, swelling, and difficulty hearing for two weeks. He says the pain is worse at night and when he is chewing. Today, he noticed his right face looked swollen and he had ...
A 24-year-old male presents to the ED from a mixed marital arts competition after being struck on the side of the right head by a fist earlier today. The patient denies any loss of consciousness, neck pain, vomiting, or use of blood thinners. His vital signs include BP 133/82, HR 76, T 97.5, RR 15, ...
A 70-year-old female with a past medical history of osteoporosis, atrial fibrillation, and hypertension presents with acute thoraco-lumbar back pain after a ground-level fall. She is stable, but she does have pain at the T-12/L-1 region of her back. She has full motor strength and sensory function...
