A 50-year-old woman with a history of cancer with pulmonary metastases presented for outpatient lung biopsy. The biopsy was performed, and after the first specimen was obtained, the patient had massive hemoptysis requiring suctioning. Her blood oxygen level began to decline and a rapid response was called followed by a code blue…
Read MoreA 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…
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