Myiasis infestations are classified either by the host-parasite relationship or by the location of the larvae, with cutaneous myiasis being the most common form…
I picked up the next chart during my fast track shift. I read the triage note: Back pain, ESI 4. Possibly a herniated disc or some other kind of musculoskeletal back pain…
A 60-year-old man with a history of hypertension and smoking presents to the medical center with chest pain. Over the weekend, he developed chest pain while cleaning out his gutters that resolved with rest. This morning, he was working at his computer when he developed chest pain radiating to his left arm. It has since resolved, but he presents to the clinic for evaluation. An EKG obtained on arrival is unremarkable, but he soon develops chest pain again…
A 19 year-old female with no significant past medical history presented with subjective fevers, generalized upper abdominal discomfort, and headache for the past month. She described her subjective fevers as intermittent, but had never taken her temperature with a thermometer. The patient also noted that she recently moved to the area from Guinea Bissau.
16-year-old male presented to the LBJ Tropical Medical Center with a complaint of fever, chest pain, body achesmyalgias and sore throat for three days. The patient also endorses diffuse joint pain, particularly in his hands, knees, elbows and shoulder and reports pleuritic chest pain intermittently that has been worsening over past three days. Patient He denies any new rashes. Denies any , bleeding gums or easy bruising. Mother has been giving aspirin every four hours at home without any noticeable relief…
On examination, he has normal vital signs. He is in no distress, comfortable appearing, but acting shy and withdrawn (appropriate for age). His eyes and conjunctiva are normal, but the eyelids are ectropic. He has moist and otherwise normal oral mucosa. The left otic canal is filled with keratinitic debris and once cleared reveals a normal tympanic membrane. The right ear is normal. The remainder of his skin examination reveals diffuse, whole-body brown plaques which are anchored at the center and peeling at the edges…
A 7 year-old girl presents to a hospital in Lilongwe, Malawi with worsening tactile fevers, shortness of breath, and productive cough over the past week. Her mother reports subjective weight loss, but denies night sweats, hemoptysis, or a significant respiratory history…
A 68-year-old male with history of non-insulin dependent diabetes mellitus, hypertension, and hyperlipidemia presented to the emergency department with four days of fever, malaise, fatigue, myalgias, arthralgias, nausea, poor appetite, and intermittent, mild headache. He reported extreme generalized weakness…