A 25 year old male presents with sudden onset of L chest and back pain while bench-pressing at the gym. There is decreased breath sounds on the left side. This isn't your typical msk chest pain! Read on for the imaging and management of this interesting pathology...
A 53 year old reported daily ETOH use presents via EMS for seizure at home. As you approach the stretcher you wrack your brain for the right treatment algorithm, realizing that this patient may die without the correct medications....
A 37 yo female presents with chief complaint of "electric shock" sensations down her arms and intermittent nausea/vomiting over the past week. Her vital signs are unremarkable. Little do you know that this young, well appearing patient has an acute medical emergency which will result in cardiac arrest in a few hours....
A patient boarding in the emergency department begins decompensating after a profound fit of retching and vomiting. Blood pressure is dropping and o2 sats are falling...you eyeball the patient from the door and he looks severely ill. No time to page the floor team...time to dive in and resuscitate!
A 68 yo male arrives after a motor vehicle collision in which he was the restrained driver of a T-boned car. His only complaint is left hip pain. No problem right? Wrong.
A 44 yo male who works as a construction worker presents with 2 days of lower back pain. Having seen literally hundreds of cases of benign musculoskeletal pain in the last year, you are pretty sure you can handle one more. But is there danger lurking behind this well appearing patient with normal vitals? Well, yes of course. Otherwise we wouldn't be covering it on EM Daily....
It's an ice storm in South Jersey! Thirty-four (34!) patients present within 4 hours with slip and falls and a veritable menagerie of orthopedic injuries. You see a 29 yo male who everted his ankle on the sidewalk. There is an obvious deformity. Should we order an xray and then call the orthopedics resident? No! We're going to reduce, splint, and discharge this patient ourselves....
An elderly female arrives complaining of fatigue and weakness (easy right?) and a casual glance at the MAR shows the she is on digoxin for CHF. You notice she has a HR in the 50s and wonder if digoxin toxicity could be repsonsible for her symptoms. Lucky for you, you brushed up on this basics with this quick case review!
A 2 yo female presentes with parents with complaints of "whole body swelling" noted over days. You panic slightly as you reach for possible differentia diagnoses to explain this perplexing symptom and are struck by a distant memory of your peds rotation from medical school, or perhaps a flash of a memory staring at your Robbins textbook of pathophysiology.....
