An elderly man reported to the emergency room after a fall down 15 stairs at home. He was more confused than his baseline but otherwise did not have any specific complaints. Vitals and labs were within normal limits. A non-contrast CT of the brain and C-spine was performed and read as normal…
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 MoreA previously healthy 11 year-old male presents to the ED with three days of lower abdominal pain. The patient was evaluated at an urgent care center prior to arrival and was sent to the ED to “rule out appendicitis.” The patient reports intermittent “stabbing” pain that was initially suprapubic, but moved to the right lower quadrant today. The patient states the pain comes and goes without a clear trigger, but he has been able to eat normally and go to school. His mom became concerned today when they were about to eat dinner and the patient had an episode of severe pain that caused him to lie down. His mom gave him acetaminophen with some relief. He has not had fever, nausea, vomiting, or diarrhea. He has no sick contacts. He denies dysuria and penile discharge…
Read MoreA 16-year-old male presents with head trauma. The patient was in gym class when another classmate ran into him, kneeing him in the left eye. There was no loss of consciousness. On presentation, the patient complains of headache, dizziness, nausea, visual disturbance, and photophobia…
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