A female in her 30’s presents to the emergency department for acute onset of facial swelling, shortness of breath and a change to the sound of her voice. Although she denied any known allergic exposures, she self-administered an epi-pen at home with little improvement in her symptoms…
Read MoreCalciphylaxis is a life-threatening vasculopathy that results from the deposition of calcium in the arteriolar vasculature of the deep dermis and subcutaneous adipose tissue, which causes occlusion of the affected blood vessels and overlying tissues and skin…
Read MoreAn 18-year-old male with no significant past medical history presents with left shoulder pain after sustaining an injury while playing hockey. The patient reports that during the game he was tripped by another player, and subsequently hit the back board with his left upper torso. He immediately experienced severe pain and nausea. He was taken to the emergency department (ED) at this time. Pain is localized to the left shoulder, exacerbated by movement, and alleviated by immobilization. He denies shortness of breath, dysphagia, hoarseness, paresthesias, or any sensorimotor deficits…
Read MoreA 17 y.o. female with PMH significant for ADHD, anxiety, and depression presents to the Children’s Hospital Emergency Department with a chief complaint of vomiting, accompanied by her mother. She states that she has been vomiting for two days. Since that time, she has lost count of the number of times she has vomited. She denies seeing red or black in her emesis and tried taking Pepto-Bismol but vomited the medication.She was able to shower once which helped a little…
Read MoreA 65-year-old right hand-dominant female was brought in by ambulance after a motor vehicle collision with left wrist pain and deformity. She states she was driving when another car turned and drove into the front of her car. She was wearing a seatbelt, the road speed limit was 35 MPH, and the front airbags deployed. There was moderate damage to the vehicle. However, the patient was able to self-extricate and was ambulatory on scene. She denied head strike, loss of consciousness, or taking blood thinners. She states she was in her usual state of health prior to this event…
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