Browse by Tags

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 # 71

38-year-old female presents with right flank pain and vomiting. You are concerned she has a ureteral stone. You perform a bedside ultrasound and note the following... Take the Case

Posted to Cases (Weblog) by Rob on 04-12-2008
Case of the Week - Case # 60

A 44-year-old female presented to the ED with several day history of left flank pain, fever and malaise. The patient relates a history of recurring UTIs but is on no antibiotic prophylaxis and denies history of recent hospitalization. Her vitals signs are stable and she is noted to have a temperature...

Posted to Cases (Weblog) by Rob on 01-23-2008
Case of the Week - Case # 51

58-year-old male presents with nontraumatic right sided pain for the past 2 days. He points to the midaxillary line starting at @ the 8th intercostal space and extending caudal to the infracostal margin. He denies hematuria, fever, chills, n-v-d, fatty food intolerance, chest pain or dyspnea. His vital...

Posted to Cases (Weblog) by Rob on 11-16-2007
Case of the Week - Case # 47

28-year-old male with ESRF on HD presents with bilateral flank pain and concern for obstruction. Pt states his renal failure is due to childhood obstruction due to posterior urethral valves. He believes that his last CT scan showed small kidneys but no evidence of obstruction. The patient appears comfortable...

Posted to Cases (Weblog) by Rob on 10-15-2007
Case of the Week - Case # 28

42 y.o. male who presents with right flank pain, nausea and vomiting. The patient has been hiking and camping for the last 2 days. He was in his normal state of health until 2 days ago when he developed sudden onset of right flank pain. Since then he has been unable to hold any fluids down. His vitals...

Posted to Cases (Weblog) by Rob on 05-26-2007
Case of the Week - Case # 20

28 month old male presents with a history of no urine output for 36 hours. The patient has a PMH of chronic reflux nephropathy and underwent surgical correction one year ago. He was admitted one month later with an episode of urinary retention and was found to have a urethral stricture. Father states...

Posted to Cases (Weblog) by Rob on 03-21-2007
Case of the Week - Case # 6

A 27-year-old female without PMH who is pregnant (19w4d by dating from a 1st trimester OB ultrasound) presents with right flank pain and vomiting. She was initially sent to L&D triage but is sent back to the ED since she is under 20 weeks. Her vitals are stable (including fetal cardiac activity by...

Posted to Cases (Weblog) by Rob on 12-06-2006
Clinical Case # 4

44-year-old female presents with right flank pain of two-months duration. She was diagnosed with pyelonephritis six weeks earlier and urine culture revealed E. coli. The patient could not afford the antibiotics and therefore has not been treated. She relates having fevers on and off, chills and cloudy...

Posted to Cases (Weblog) by Rob on 11-22-2006

Page 1 of 1 (9 items)