Browsing All posts tagged under »Emergency Medicine«

Answer to Image Challenge | Difficulty Breathing

October 5, 2013

0

**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————————–   The correct answer is Aspiration Pneumonitis (D).  Explanations of the choices follow, and management of the patient is discussed at the bottom of the page. Don’t feel bad if you chose Pneumoperitoneum (A) – […]

Image Challenge | Difficulty Breathing

October 3, 2013

5

An 80 year old male with multiple medical problems (including CAD, COPD and atrial fibrillation) is undergoing evaluation for progressive early satiety and vomiting after meals for the past year.  A peri-pancreatic mass causing extrinsic compression of the gastric outlet near is discovered on abdominal imaging, and upper endoscopy with endoscopic ultrasound and fine needle […]

Answer to Medical Challenge | Altered Mental Status Pt. 2

August 1, 2013

0

**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————————– The correct answer is Medication induced delirium (G). This was a difficult case, but with the information provided the most likely answer should be clear.  It’s an important topic, as this is a commonly-encountered clinical […]

Medical Challenge | Altered Mental Status Pt. 2

July 12, 2013

1

This medical challenge is adapted from a real clinical scenario, and though complex, is an excellent example of the broad differential required for an elderly person with a change in mental status – one of the most common presentations to the emergency department. An 80 year old white male is brought to the emergency department […]

Answer to Medical Challenge | Sudden Pain

March 25, 2013

0

**If you would like another chance to read the challenge before seeing the answer, click here.  Scroll down for the answer.  ** ———————————————————————————————————————————————————————— The correct answer is D) Nephrolithiasis. Some of you chose the correct condition, but on the wrong side of the body.  Remember that the patient had pain on the left, and that […]

Medical Challenge | Sudden Pain

March 23, 2013

9

Case:  A 43 year old female presents to the emergency department complaining of sudden-onset, sharp, left-sided abdominal pain that radiates to the groin, followed by nausea, vomiting, and diarrhea. Based on the images and history provided above, what is the most likely diagnosis? A) Appendicitis B) Diverticulitis C) Hernia D) Nephrolithiasis (kidney stone) E) Ruptured […]

Mediku | Well, I’m Allergic to Bullsh*t

October 20, 2012

0

This mediku comes from my buddy Vince (@ER_DrTobe2013) and was inspired by an all-too-common occurrence in his field of his choice, Emergency Medicine.  Patients who are so-called “frequent-fliers” are often mysteriously allergic to first-tier painkillers, but not “that one that begins with.. a D, I think?”  Enjoy: My back is hurting I’m allergic to morphine […]