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September 2008 Challenge

68-year-old male presents with acute dyspnea. He has not sought care since moving to town several years ago. He relates a history of prior MI and heart failure. He is not taking any meds currently. You perform a focused ultrasound in order to assess LV function... Take the Challenge

Posted to EMsono Challenge (Weblog) by Rob on 09-30-2008
Case of the Week - Case # 90

A 54-year-old male presents with a significant UGI bleed. He seeks his care at an outside hospital and you have no records for him at your hospital. Due to his GI bleeding, you want to fluid resuscitate the patient but are concerned due to his CHF history. You perform a focused echo to assess for global...

Posted to Cases (Weblog) by Rob on 08-25-2008
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 # 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 # 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...

Posted to Cases (Weblog) by Rob on 08-18-2007
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

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