Case: A 74 yo male patient with a PMH significant for rectal carcincoma (s/p chemotherapy and radiation; refused surgery) arrives with chief complaint of rectal pain and general malaise for two week duration. He notes urinary and fecal incontinence over this same time period. He also notes intermittent fevers.
Case: An 8 year old girl presents to the Emergency Department with the feeling of shortness of breath. Onset was soon after a meal and her parents state that she may have choked on something.
Case: A 42 year old female patient with a past medical history significant for diabetes, obesity and hypertension presents to the ED with chief complaint of 4 days of abdominal pain.
Diagnosis: Fishbone lodged in oropharynx.
Case: 55 year old female with unknown medical history presents to the Emergency Department by EMS after having a seizure. Prior to the seizure the patient was found "acting strangely" and agitated outside on her street. Patient had a witnessed seizure after police arrived.
Vital Signs:
Answer: 5. Number of gallstones. 1, 2, 3, and 4 (also known as sonographic Murphy’s sign), are principal aspects of determining cholecystitis.
