A 69 yo male presents with EMS after a friend found the patient confused in bed, covered in feces. The patient's only complaint is leg pain. You quickly think through your differential diagnosis for deadly causes of leg pain as you approach the room. Is this patient hiding one of them???
62-year-old female PMHx H
A 55 yo female presents with complaints of atraumatic pain to the right foot for 2 days. "Great!" you think to yourself. "An easy one to break up this grueling shift!" Little do you know that this patient harbors a condition that has a short term mortality of 25%.....
A 45 year old IDDM presents with abdominal pain, nausea, and dyspnea. He appears markedly tachypneic from the door. "Easy!" you think. "This is a SLAM DUNK case of DKA!" Your nurse then informs you that the patient's point of care glucose is 182...
A 48 year old male presents with complaints of blurry vision. His triage blood pressure catches your eye: 290/120. "Pretty high," you mutter to yourself "but am I supposed to treat it? If so, with what? How fast should that pressure come down?" Time for a crash review of hypertensive emergency....
Dr. Comber, M.D., discusses some literature on two techiniques to approach the drainage of a cutaneous abscess.
A 54 yo male with a recently diagnoised RLE DVT, currently on appropriate oral anticoagulation, presents with severe RLE pain. "Well this is easy...his leg hurts because of his DVT right? RIGHT????" Read on for a relatively rare complication and limb threatening complication of a common diagnosis....
A 58 year old man with a history of stage IV pancreatic adenocarcinoma, currently on chemotherapy, presents with chief complaint of RLQ abdominal pain. He appears in severe pain as you enter the room and his abdomen appears disteneded and stretched tight. Small bowel obstruction? you think as you approach the bedside. Not so fast!
Dr. Fieles, M.D., discusses 3 clinical stages of Lyme Disease.
A 43 year old woman with a history of metastatic breast cancer treated with radiation and chemotherapy presents to the emergency department with complaints of productive cough, blo
