A 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 MoreA 15-year-old female with a history of depression and ADHD who presents to the ED after an intentional overdose. Family notes that the patient is prescribed Prozac and Adderall, but they also found Benadryl and Ibuprofen in her room. On arrival, the patient was hypertensive to 140/82 and tachycardic…
Read MoreBRASH Syndrome is a somewhat newly described condition, with the acronym referring to Bradycardia, Renal Failure, AV Node Blockade, Shock and Hyperkalemia…
Read MoreNecrotizing fasciitis is a life-threatening soft tissue infection that causes necrosis of the muscle fascia and subcutaneous tissues…
Read More68-year-old male with history of hypertension, chronic kidney disease presenting from home with wife at bedside for confusion and shaking movements. Per wife, the patient is independent at baseline. He walks, drives and still works. Yesterday, he complained of a mild headache and this morning she noticed he seemed more confused, described as asking repetitive questions and wandering around the house. Prior to coming into the emergency department, the patient had a one-minute episode of full body shaking. This has never happened before. He has no history of seizure activity. The shaking resolved on its own and the patient was very tired afterwards while awaiting the ambulance. ..
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