Category Archives: Cases

Pregnant With Vomiting

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 4 days ago. She complains of nausea and vomiting but denies any abdominal pain, vaginal bleeding, dysuria, or back pain. She states she is able to keep

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Acute Shortness Of Breath

Hx: A young male in his late 20’s presents with shortness of breath. He denies any past medical history and notes that symptoms only began a few days ago. He began with a cough that seemed to get severely worse a day or two ago. Despite his denial of other symptoms or history, he seems to have some difficulty recalling

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Syncope … Or Is It ?

Hx: A male in his 80’s is transported by EMS after a cardiac arrest. His family called 911 after they heard him fall in the bathroom and found him unresponsive. The paramedics found the patient pulseless and apneic. ACLS protocols were initiated, he was intubated (without medication), CPR was given, and he had return of spontaneous circulation just prior to

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Chest And Flank Pain

Hx: A 67 yo male complains of chest pain with shortness of breath. Pain is mid sternal pressure, non-radiating, and started this morning. There was some shortness of breath but it is better after a single nitro at home which he took about 4 hours ago. He also has left lateral chest pain/flank pain for 2 days that is separate,

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Headache and Syncope

Hx: A 34 yo female presents with headache and syncope. She is accompanied by family  who give most of the hx. The patient has a hx of daily migraines for which she takes excedrin. Last night she had onset of a severe frontal HA, no radiation, timing unknown. She took a dose of excedrin. This morning she awoke with a headache

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23 yo With Chest Pain

Hx: A 23 yo male complains of chest pain. It has been present for 2 days, and intermittent. This morning he awoke feeling well but then developed 2/10 dull mid chest pressure, non-radiating, but associated with a tightness in his right arm. His right arm also felt weak to the point where he had difficulty holding a cup. No shorties

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Chest Pain: A Repeat Visit

Hx: A 39 yo female complains of chest pain. It began today, is felt as a pressure in the mid chest with a sensation of heart racing, and is associated with shortness of breath. She also has significant associated anxiety. She notes a similar episode one week ago when she was seen in the emergency department and had negative cardiac

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Facial Injury

Hx: A prisoner in his mid 20’s presents with a facial injury. History from EMS is that the patient had a syncopal episode and hit his face on the edge of a sink sustaining a lip laceration and facial contusion. The patient states he got out of bed, passed out, and hit his face on the way down. He cannot

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Tongue Swelling

Hx: 62 yo female presents with tongue swelling. She notes she went to bed normally without symptoms. When she awoke, her tongue felt thick and throughout the morning it has gotten worse. She denies shortness of breath, fever, pain, or history of similar swelling. She denies any new medications or exposures and she has no allergies. No rash or itching.

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Hip Pain Post Fall

Hx: A 25 yo male presents after falling at work. EMS reports that he fell approximately 8 ft from a ladder landing on his right side but without head injury. He complained of severe right hip pain at the scene and was unable to ambulate. EMS vitals signs are significant for tachycardia at 130, sinus. IV placed and normal saline

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