August 2007 - Posts

• Case of the Week - Case # 41

  A 36 y.o. male is admitted to the ED via EMS after a high-speed MVC.  The patient was the unrestrained driver of the vehicle. The medics report that the patient "broke the steering wheel.  It was also noted on exam that the patient has extensive bruising in the upper abdominal region.  His physical exam reveals multiple minor lacerations and a large bruise over his anterior torso.  His abdomen is diffusely tender.  His vital signs are stable.  You perform a FAST exam...   Take the Case Posted Aug 27 2007, 10:12 PM by Rob with no comments Filed under: FAST, Intermediate, trauma

• Case of the Week - Case # 40

  A 15 y.o. hispanic female presents to the ED 4 days after delivery of her first child with difficulty breathing and edema.  Her prenatal course was complicated by preeclampsia but she had an uneventful delivery and was discharged home on postpartum day number 2.  She noticed swelling in her legs since coming home and she has been unable to lay flat.  She denies any other PMH and does not take any meds.  Her vitals are: BP 124/78, HR 100, RR 24, PO 94% on RA, and T 37.1 orally.  On exam you note that she has bilateral LE edema, diminished breath sounds at the bases, and positive JVD.  You perform a bedside ultrasound and note the following... Take the Case Posted Aug 18 2007, 12:51 PM by Rob with no comments Filed under: Beginner, Intermediate, Cardiac, Pregnancy

• Case of the Week - Case # 39

  28 yo hispanic female presents with acute right flank pain.  She has no past medical history and her vital signs are stable.  You are concerned that the patient has a kidney stone and you have the resident perform a bedside ultrasound.  The resident tells you that she doesn't see any evidence of hydronephrosis.  You go in and perform the scan yourself. Take the Case Posted Aug 13 2007, 11:41 AM by Rob with no comments Filed under: Renal, Beginner

• Case of the Week - Case # 38

  A 24-year-old hispanic female comes in with suprapubic cramping and mild vaginal bleeding.  This is her first pregnancy and she has no known ectopic risk factors.  She is about 8.5 weeks by her last menstrual period.  Her vitals are stable and her physical examination is only significant for mild suprapubic tenderness without guarding or rebound.  You perform a transabdominal ultrasound and note the following: Take the Case Posted Aug 04 2007, 03:54 PM by Rob with no comments Filed under: Pelvic, Beginner, OB, Pregnancy