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Editor:
A four year old female with a history of seizures presents to the ED with a progressively worsening rash in the setting of 2 days of fever.
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Vicki Parikh, MD
Board Review: Oh SNAP!
Editor:
55 year old female presenting with left knee pain after a fall. Patient appears intoxicated and states she tripped and fell. No preceding symptoms or head trauma. Pain is 5/10. She has not been able to ambulate since the incident. On exam the patient is neurovascularly intact.
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Board Review: Oh SNAP!
Editor:
A 21 year old otherwise healthy female presents to the ED after an MVC. She reports that she was driving when the car was hit in traffic. During your physical exam, you notice the finding below. An X-ray of the foot is negative for fracture. What is the best test to evaluate this injury?
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Board Review: Oh SNAP!
Editor:
19-year-old male with past medical history significant for seizures presents with right shoulder pain. He woke up from sleep with the pain. It is 10/10 and worse with movement. He has multiple prior episodes for which he has been treated for in the ED.
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Board Review: In from one END out the OTHER
Editor:
65 year old male with no known past medical history presenting with constipation that has been worsening over the past month. Patient is a daily smoker and has not seen a doctor in twenty-five years. He has tried docusate, senna, and miralax at home with no improvement in symptoms.
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Board Review: In from one END out the OTHER
Editor:
A 60 yo female with a history of DM and HTN presents to the ED with fever and AMS. Family reports that this morning she appeared confused and generally ill, prompting a call to 911. In the ED, her vital signs are as follows: T: 39C; HR:120; BP: 85/40; RR:26; SpO2: 97%.
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Board Review: In from one END out the OTHER
Editor:
A 55 year old male with a history of cirrhosis and HTN presents to the ED with progressively worsening abdominal pain and distension for the past week. Vitals are as follows: T101F HR110 BP150/95 SpO297% RR20.
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Board Review: Are we seeing eye to eye?
Editor:
A 65 year old female with a history of hyperopia presents to the ED with acute onset unilateral eye pain, redness, and blurry vision associated with headache and nausea. She had just arrived at a movie theater when the symptoms began. On exam you see conjunctival injection, mid-fixed pupil, and a hazy cornea.
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