A 64-year-old male with a history of hypertension, glaucoma, and central retinal vein occlusion presents to the emergency department in August with 2 weeks of progressively worsening, non-radiating abdominal pain. He describes feeling something “stuck” in his upper abdomen. He developed a dry cough around the same time as the abdominal pain and finds that coughing exacerbates the pain…
Read MoreA 17-year-old boy arrives to the trauma bay. He was the unhelmeted driver of a moped that collided with a truck going approximately 40 mph. He was thrown from the moped and lost consciousness. When EMS arrived on scene his GCS was 8, but it had improved during transport. In the trauma bay he has a GCS of 15 and his primary survey is intact. Vital signs are normal. Secondary survey reveals scattered abrasions and lacerations, as well as left anterior neck tenderness. His only complaint is pain in the left anterior neck…
Read MoreA 50-year-old male presents to the emergency department with leg swelling. The patient has a past medical history of diabetes, heart disease, and hypertension. He lives at home alone. He states that he has had a wound on his foot for the past several days. He has been wearing his shoes around the house and has been unable to take them off because his foot has become swollen…
Read MoreThis is a 4-year-old female with a chief complaint of 2 days of rash. She appears to be completely unbothered by the rash, and has been afebrile without any recent infections/illnesses; a complete review of systems is negative. The patient has been eating and drinking well and her behavior is at baseline. Her mother at bedside denies any new exposures such as detergent, lotion, and food. She has no significant past medical history and does not take any medications; she is up to date on vaccines and has not received any new vaccines recently. Vital signs are within normal limits for age. The physical exam is significant for diffusely scattered, erythematous “targetoid” lesions along with equally scattered erythematous, slightly raised wheals. This rash is found on her trunk, extremities, and palms…
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