…The differential diagnosis included acute coronary syndrome, CHF exacerbation, pneumonia, and cardiac amyloidosis.
EKG showed sinus tachycardia with low voltage. Laboratory evaluation was unremarkable, with a negative troponin and high normal BNP. Chest radiograph showed bilateral infiltrates concerning for mild pulmonary congestion.
POCUS was obtained….
Read MoreAn octogenarian gentleman with a history of atrial fibrillation, congestive heart failure, chronic kidney disease, and insulin-dependent diabetes presented to the emergency department with three weeks of pain and swelling near the right side of his face. He awoke that morning with a new symptom -- difficulty swallowing…
Read More40 year old female with normal vital signs and a chief complaint of right upper quadrant abdominal pain associated with nausea and vomiting. She has never had this pain before. She has no past medical and no past surgical history. She denies vaginal and urinary symptoms. She undergoes right upper quadrant ultrasound which confirms the diagnosis…
Read MoreShe goes to see the patient, a 27 year old male with no past medical history who spent the afternoon surfing. He was walking back to his car barefoot and stepped on something that made him jump. He has no idea what it could be but “it’s still in there doc!” …
Read MoreA 12 year old male presents to the ED from an outside hospital (OSH) after accidentally ingesting 3 ‘buckyballs‘ while playing with a toy just prior to arrival…
Read More
