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Case of the Week - Case # 73

74-year-old white female presents with dyspnea for two days. On examination, you notice that her heart sounds are muffled and you performed a focused ultrasound to assess for pericardial effusion... Take the Case

Posted to Cases (Weblog) by Rob on 04-30-2008
Case of the Week - Case # 68

Elderly male presents from the nursing with fever and cloudy urine. His vitals are as follows: BP 100/48, P 128, R 30, T 39.4. The patient has never been seen before at your institution but the transfer sheet reports that the patient has a history of CHF. The patient has already received 2 liters of...

Posted to Cases (Weblog) by Rob on 03-21-2008
Case of the Week - Case # 67

An elderly male presents with chest pain. The patient has history of lung cancer. On examination, his heart tones are muffled and you are asked to scan the patient for a possible pericardial effusion/tamponade. Take the Case

Posted to Cases (Weblog) by Rob on 03-12-2008
Case of the Week - Case # 55

An 86-year-old nursing home patient presents to the ED with dyspnea and low blood pressure. Her EKG reveals low voltage QRS complexes and your resident is concerned that the patient has a pericardial effusion/tamponade. Your resident is also concerned that "something doesn't look right in the...

Posted to Cases (Weblog) by Rob on 12-17-2007
Case of the Week - Case # 46

A 22-year-old male presents to the ED after having been shot in the left chest during an attempted carjacking. The bullet entered into the left chest just medial to the left shoulder. Initially, the patient was awake and alert with BP 124/64, HR 92 and RR 16. His chest xray revealed several bullet fragments...

Posted to Cases (Weblog) by Rob on 10-07-2007
Case of the Week - Case # 37

A 54-year-old black female with a history of lupus presents to the ED with cough and pleuritic chest pain. Her vital signs are stable and she is afebrile. On examination, you think you hear a pericardial rub. You perform a focused echo and note the following... Take the Case

Posted to Cases (Weblog) by Rob on 07-29-2007
Case of the Week - Case # 35

54 y.o. male presents s/p accidental precordial stab wound with a box cutter at a construction site. The patient's vitals are stable and he is in no acute distress. The only wound you find on the patient is in the left precordial region over the left pectoralis muscle. It is 1.0 cm in length and...

Posted to Cases (Weblog) by Rob on 07-12-2007
Case of the Week - Case # 34

An 82-year-old male presents with dyspnea worsening over the past three days. He has a history of prior MI, hypertension, renal insufficiency and type 2 DM. He is from out of town and is just in town for a wedding. He is on a boatload of medications and doesn't know anything else about his history...

Posted to Cases (Weblog) by Rob on 07-07-2007
June 2007 EMsono Challenge

A 28 year old morbidly obese female presents with five days of dyspnea and chest tightness. She presented via EMS after having a syncopal episode at church. She has no past medical history and the only medication she takes is oral contraceptive pills that she has been on for 8 years. Her vitals signs...

Posted to EMsono Challenge (Weblog) by Rob on 06-30-2007
Case of the Week - Case # 30

A 67-year-old male presents via EMS after being found unresponsive by the wife. EMS reports that the patient seems aphasic and is only moving his right side. The patient's blood pressure is 82/40 and his heart rate is 100. The patient has a PMH of hypertension and coronary artery disease. On examination...

Posted to Cases (Weblog) by Rob on 06-06-2007

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