63 year old male presents to the Emergency Department with one day of generalized abdominal pain. Reports nausea and multiple episodes of non-bloody, non-bilious vomiting. No recent antibiotics or travel.
A 37 year old male presents to your Emergency Department in Tucson, Arizona after being bitten by a rattlesnake while hiking in the desert.
37 year-old male presents to the ED with four days of fevers, chills, abdominal pain, myalgias. Denies nausea, vomiting, and diarrhea. No known sick contacts. Works as a landscaper. Sexually active with one partner who is asymptomatic. Vitals on arrival: Tempt 100.9F, RR 16, BPM 115, BP 120/74, Sp02 100% RA.
There is a broad differential for patient’s presenting with joint pain. Many different disease processes lead to these symptoms. In this review we will break up the various etiologies of arthralgias by the number of joints they impact.
A 48-year-old female presents to the ED with generalized fatigue. Patient has a past medical history of HTN, HLD, Crohn’s Disease. She admits to some nausea, vomiting, and dizziness. Vital signs: T 98.3F, HR 73, BP 70/50, RR 18, Pulse Ox 100% on room air. Blood glucose is 35. Exam is unremarkable.
A 48-year-old female presents to the ED with generalized fatigue. Patient has a past medical history of HTN, HLD, Crohn’s Disease.
62 year old female PMHx HTN and DM presents to the ED with two weeks of worsening left leg swelling. Pain is 8/10 and described as “achy”. Worse with ambulation. Tried tylenol with no relief. Vital signs are within normal limits.
You are working in a community Emergency Department overnight when you get a call from EMS that they are bringing in a family that was involved in an MVC.
Can patients presenting with syncope safely be discharged from the Emergency Department?
