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Case of the Week - Case # 91

48-year-old male presents with severe upper abdominal pain that was sudden in onset. The patient has no PMH although he relates a history of heavy ETOH abuse. His vitals reveal a stable BP but the patient's heart rate is in the 130's. His abdominal exam reveals exquisite tenderness with guarding...

Posted to Cases (Weblog) by Rob on 09-02-2008
Case of the Week - Case # 86

20-year-old male is admitted to the ED via EMS after a rollover MVC. The patient is hemodynamically stable. On exam you note that the patient has multiple torso bruises. After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic windows shown): Take the Case

Posted to Cases (Weblog) by Rob on 07-28-2008
April 2008 Challenge

48-year-old Amish female transferred via lifeflight after an auto vs. buggy accident. The patient is intubated at the scene for a GCS 6. Her vitals on arrival are as follows: BP-84/50, HR 142, RR- 20 (bagged) and PO-100%. On examination, she has multiple bruises noted on her torso and extremities. Her...

Posted to EMsono Challenge (Weblog) by Rob on 04-20-2008
Case of the Week - Case # 62

A 24-year-old male presents after having been stabbed to the anterior right hemithorax with a screwdriver. His vital signs are stable and his pulse ox is 95% on room air. You perform a FAST exam and note the following on the perihepatic window. Take the Case

Posted to Cases (Weblog) by Rob on 02-06-2008
Case of the Week - Case # 61

A 23-year-old female presents with vaginal bleeding and lower abdominal pain. She is approximately 6 weeks pregnant by date and has a positive bedside UCG. Her vitals are as follows: BP 88/46, HR 122, RR 24 and T 37.1C. Her physical exam reveals moderate lower abdominal tenderness with guarding. She...

Posted to Cases (Weblog) by Rob on 01-30-2008
Case of the Week - Case # 58

A 41-year-old male presents with severe midepigastric abdominal pain and hypotension. The patient states he has had no trauma and developed the pain 2 days ago and it has gotten progressively worse. His vitals are as follows: BP 78/54, HR 138, RR 28 and T 38.1 C. You perform a FAST exam in order to better...

Posted to Cases (Weblog) by Rob on 01-10-2008
Case of the Week - Case # 42

A 24 y.o. female presents via EMS after being ejected from a vehicle in a rollover MVC. On arrival, her GCS was 3 and her vitals were: BP 100/64, HR 118, RR 20. The patient has multiple torso bruises and is noted to have diminished breath sounds on the left. After the patient is intubated and the initial...

Posted to Cases (Weblog) by Rob on 09-08-2007
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...

Posted to Cases (Weblog) by Rob on 08-27-2007
Case of the Week - Case # 31

A 56-year-old male presents s/p MVC with multiple injuries. His vitals signs are stable. On exam, he has left thoracoabdominal bruising and tenderness noted. Due to your concern for possible internal hemorrhage, you perform a FAST exam. On the FAST exam you do not note any free fluid but you note an...

Posted to Cases (Weblog) by Rob on 06-13-2007
Case of the Week - Case # 27

52 y.o. male who presents after the car he was driving struck a tree. The patient was a restrained driver. He currently complains of left and right upper quadrant abdominal pain. He has anterior torso bruising and complains of right wrist pain. His vitals are: BP 148/82, HR 90, RR 18, T 37.0, Pulse Ox...

Posted to Cases (Weblog) by Rob on 05-16-2007

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