The patient is a 61 year old male with a past medical history notable for hypertension, who presented for evaluation after a syncopal episode. The patient reported ongoing headaches for the past two days that persisted despite over the counter medications. The headache was not sudden onset or thunderclap. He denied numbness, weakness or visual changes. He also had a poor appetite. The patient denied trauma or head injury and was not on anticoagulation medication.
Read MoreA 33 year old woman with a past medical history of lupus presenting to the emergency department with chest pain and shortness of breath that began last night. She states she was seated watching television when it started…
Read MoreA 53-year-old male with hypertension presents to the emergency room with painful swelling of the right first toe at the MTP joint. The patient was in good health until a few days ago, where he was attending a college reunion. The swelling and pain increased overnight. The patient is having difficulty walking this morning due to the pain. He tried taking two Advil for the pain, which helped bring the pain from an 8/10 to a 6/10…
Read MoreIn her first visit, a 43-year-old female with no significant past medical history presentS to the emergency department and is found to have lymphadenopathy. Three weeks prior to presentation, she began to notice swelling to her eyelids, worse when she woke up in the morning. One week prior to presentation, she noticed swelling to her right posterior neck and left anterior neck, as well as pain in her jaw when she chewed. The patient denied fevers, chills, congestion, sore throat, trouble breathing or swallowing, or cough. Her exam revealed very faint upper eyelid swelling and right suboccipital and left anterior cervical lymphadenopathy. Laboratory testing, including a CBC and BMP were normal, hCG was not consistent with pregnancy and HIV was nonreactive. The patient was discharged from the ED with PCP follow-up…
Read More
