A 50-year-old male with no significant past medical history presents to the Emergency Department with a chief complaint of facial swelling. The patient had been in his usual state of health when he awoke suddenly in the middle of the night just prior to presentation with lip swelling and an urticarial rash on his back and neck. He denies dyspnea, wheezing, trouble swallowing, nausea, vomiting, or diarrhea…
Read More…The patient’s history of fatigue, dyspnea on exertion, palpitations, and pale coloring can be vague when taken separately but when put together with her pale coloring and tachycardia…
Read MoreA 6-month-old vaccinated, previously healthy boy presented to the ED with fever, rash, and irritability. He had fever for four days (Tmax 102°F). Three days prior, he also developed a red non-pruritic rash and oral lesions. The rash started on his face and progressed to the rest of his body, sparing his palms and soles. His eyes have been red and irritated. He had decreased oral intake and poor urine output. His mother had been giving acetaminophen and ibuprofen. There had been no known sick or COVID-19 contacts…
Read MoreA 43 year-old female with a past medical history of migraine headaches presented to the emergency department with a severe, diffuse headache. The headache started suddenly, waking her from sleep about two hours prior to arrival, and was described as the worst headache of her life. The headache was not improved with home ibuprofen or Tylenol, prompting her visit to the emergency department. Upon further questioning, the patient noted the headache was associated with neck stiffness, diaphoresis, and subjective fever…
Read MoreA 74 year-old Portuguese speaking man with history of hypertension, hyperlipidemia, depression, non-insulin-dependent diabetes, presented to the emergency department with one week of left flank pain. The pain was gradual in onset and cramping in quality. The pain was constant and worse since beginning last week, approaching 10/10 in severity. It was located over the left flank and radiated toward the left abdomen and groin. The patient stated his symptoms began while cooking dinner. He had been working in his home vineyard and vegetable garden all day…
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