Lethargy and Weakness

November 27, 2017 // 0 Comments

A patient in his 70’s presents with diffuse myalgias, weakness, and confusion. He reports he fell out of bed and was found by his wife shortly after. He denies any head [...]

Pediatric Syncope

August 31, 2017 // 1 Comment

Hx: A young teenager presents with syncope. Parents note he had 2 episodes today without any preceding problems but the patient notes some mild lightheadedness prior to both [...]

Intentional Overdose

August 15, 2017 // 0 Comments

Hx: A 55 yo man presents after an intentional overdose. He is transported by EMS after his family found him poorly responsive with an empty bottle of tramadol. When [...]

Inhalation Injury

August 10, 2017 // 1 Comment

Hx: A male in his 20’s is working when he mixes lime away and bleach in a bottle. He then breathes some of the resultant gas and becomes short of breath, develops an [...]

Penetrating Head Injury

August 4, 2017 // 0 Comments

Hx: A 60 yo male is transported to a trauma center for a penetrating head injury. EMS reports a hand tool penetrated the forehead and the patient is stable with a GCS of 15. [...]


July 31, 2017 // 0 Comments

Hx: A male in his 60’s presents to a small ED with nausea and vomiting for 24 hours. He denies any fever, abdominal pain, or diarrhea. There has been no blood in the [...]

Back Stabbing

July 24, 2017 // 0 Comments

Hx: A prison guard is stabbed by an inmate. He is stabbed in the upper back on the left side resulting in a small puncture wound just medial to the scapula. He has immediate [...]

Persistent Vomiting

July 19, 2017 // 0 Comments

Hx: A male in his 60’s presents with persistent nausea and vomiting for 4 days. He denies any significant abdominal pain but has had some very mild diarrhea. No fever. [...]

Pregnant With Vomiting

July 6, 2017 // 0 Comments

Hx: A 33 yo female presents for possible pregnancy. She gives a hx of only 3 weeks and 5 days since her last menstrual cycle but notes that she had a positive pregnancy test [...]