A 57-year-old female presents to the emergency department with fatigue and weakness that have been worsening over a period of several months. She has a past medical history of chronic daily alcohol use, coagulation disorder with increased INR, and anxiety. She does not like to see physicians and has not been to her primary care doctor in several years, but decided to come in today because her fatigue and weakness have become too severe…
Read More…The mother changed his diaper again around noontime and noted another large maroon stool. His mother brought him to the pediatrician’s office. Upon showing a picture of the stools to the pediatrician, the patient was instructed to present to the emergency department….
Read MoreA 50-year-old female presents to the emergency department complaining of two days of gradually worsening left lower quadrant abdominal pain. She endorses anorexia and multiple episodes of vomiting. She is slightly tachycardic, but afebrile. She is noted to have tenderness to palpation to the left lower quadrant but no significant rebound or guarding. Given her presentation, diverticulitis becomes the leading differential diagnosis, although renal colic is also a possibility. For that reason a non-contrast CT scan of the abdomen/pelvis is ordered for further evaluation…
Read MoreThis is an 83-year old woman with a history of prior abdominal surgeries presenting to the ED as a transfer from her SNF with increasing abdominal distention. Patient has not had a bowel movement in four days although endorses passing occasional flatus. She denies emesis though endorses nausea, hiccupping, and burping. She denies any abdominal pain, fevers, chills, dysuria or urinary frequency. ..
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