A 68-year-old male with a past medical history of HTN, HLD presents reporting severe bilateral upper extremity pain…
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A 17-year-old female presents via EMS from her boyfriend’s home after a report of two separate episodes of generalized tonic-clonic seizure like activity. She has no previous history of seizures. Per EMS, she was given versed on scene for seizure like activity lasting roughly 5 minutes. She was also febrile to 100.8°F. The emergency department team is unable to obtain a detailed history from the patient and unable to reach the family when the patient first presents to the ED…
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Despite how frequently emergency physicians encounter children who have had a febrile seizure, there tends to be great variation in the diagnostic evaluation of these patients. The algorithm below was created to provide a more simplified approach to the patient presenting with a febrile seizure. The algorithm draws from the 2011 American Academy of Pediatrics (AAP) Clinical Practice Guideline for the Febrile Seizure as well as the clinical pathways published by Seattle Children’s Hospital…
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A 70 year-old male, with a past medical history of hypertension, gastroesophageal reflux disease, chronic lymphocytic leukemia on Ibrutinib, and coronary artery disease, presented with right hand weakness since waking that morning. He reported that he felt the strength of his grip was not at baseline, and his wife also noted that, while eating breakfast, the patient dropped his bagel, a dish towel, and his utensils. His last known well was 10:00 PM the night before, although he also endorsed two weeks of persistent right hand numbness and burning paresthesias in his right hand. He denied headache, fever/chills, chest/back/abdominal pain, nausea/vomiting, urinary symptoms, or diarrhea, as well as any visual symptoms, speech changes, or gait problems…
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Austin Quinn, MD, and Meghan Beucher, MD
CASE:
The patient is a 4 month-old ex-full term fully vaccinated otherwise healthy male who presented to the ED with one week of abnormal movements. The patient's mother stated that over the past week he had had increasingly frequent clusters of 5 or 6 episodes of flexing his hips and arms in toward his trunk, accompanied by abnormal eye movements with upward deviation and head drop. She sent videos to the PCP who felt it was from gas pain and started the patient on simethicone, without improvement in symptoms. Mother commented that they appeared to happen more often before sleep, but could happen when the patient was wide awake. He appeared to remain conscious throughout the episodes and would often cry afterwards.
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