A 41-year-old G1P0 female at 7 weeks gestation presents to the emergency department (ED) with 3 days of mild lower abdominal cramping and intermittent vaginal spotting. Nothing makes the cramps better or worse and the spotting randomly occurs throughout the day. She rates the cramping at a 7/10 and describes it as “bad period cramps.” She has no other symptoms and is nervous that “something is wrong with the baby”…
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A 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…
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A 31 y.o. male presents to the Emergency Department with a chief complaint of swelling of his right leg. He has no past medical history, and his social history is significant for polysubstance use disorder and housing insecurity. He primarily injects opioids and cocaine and has had periods of time where he received medication assisted treatment with buprenorphine. On exam, there is an area of erythema and swelling on the lower right extremity that does not overly the joints. The area is warm and tender to palpation. There is no obvious wound or purulent drainage. The remainder of a 12 point Review of Systems is negative…
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