A 17-year-old male with a past medical history of major depressive disorder, anxiety, and obsessive-compulsive disorder presented to a pediatric emergency department with two days of a frontal headache and nonradiating, aching left sided chest pain. He was accompanied by his mother. The patient had received a third dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior…
Read MoreA seven-day old male presented to the Emergency Department (ED) with twelve hours of increased work of breathing. His mother reported a healthy pregnancy and spontaneous vaginal delivery. She noted they had been home for 5 days from the newborn nursery. However, overnight she found the patient had increased work of breathing and difficulty with feeds. She noted he was no longer able to finish a full feed…
Read MoreBRASH Syndrome is a somewhat newly described condition, with the acronym referring to Bradycardia, Renal Failure, AV Node Blockade, Shock and Hyperkalemia…
Read MoreA 68-year-old male presents to the emergency department (ED) with one week of worsening shortness of breath. He has no known cardiac history and has rarely seen a physician. He reports shortness of breath with exertion, mild non-productive cough, and subjective fever. He is not having chest pain. He is a long-time smoker but denies other drugs. Vitals are as follows: heart rate (HR) of 102, blood pressure (BP) of 105/70, afebrile, 89% on room air (RA), respiratory rate of 20. On exam the patient exhibits labored breathing, crackles in bilateral lower lung fields and +1 pitting edema in bilateral lower extremities…
Read MoreA 58-year-old woman with a past medical history significant for hypertension and hyperlipidemia presents to the Emergency Department with 3 days of dyspnea. She also endorses non exertional pleuritic chest pain, chills, and malaise that started on the morning of her presentation. Vital signs were notable for tachycardia of 110 beats per minute and an oxygen saturation of 93% on room air, but were otherwise normal. Physical exam revealed clear lung fields bilaterally and was otherwise unremarkable…
Read More
