Posts in Global EM
Island Med: Challenges of Remote Healthcare

A 60-year-old man with a history of hypertension and smoking presents to the medical center with chest pain. Over the weekend, he developed chest pain while cleaning out his gutters that resolved with rest. This morning, he was working at his computer when he developed chest pain radiating to his left arm. It has since resolved, but he presents to the clinic for evaluation. An EKG obtained on arrival is unremarkable, but he soon develops chest pain again…

Read More
Intra-erythrocytic, Ring Formed Parasites: A Diagnosis of Malaria or Babesiosis?

A 19 year-old female with no significant past medical history presented with subjective fevers, generalized upper abdominal discomfort, and headache for the past month. She described her subjective fevers as intermittent, but had never taken her temperature with a thermometer. The patient also noted that she recently moved to the area from Guinea Bissau.

Read More
Tales from LBJ Tropical Medical Center: A Child with Fever and Chest Pain

16-year-old male presented to the LBJ Tropical Medical Center with a complaint of fever, chest pain, body achesmyalgias and sore throat for three days. The patient also endorses diffuse joint pain, particularly in his hands, knees, elbows and shoulder and reports pleuritic chest pain intermittently that has been worsening over past three days. Patient He denies any new rashes. Denies any , bleeding gums or easy bruising. Mother has been giving aspirin every four hours at home without any noticeable relief…

Read More