Emergency Medicine Case Reviews & Articles | Emergency Medical Minute

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Emergency medicine clinical tips and articles

Back From The Dead

Back from the Dead Chief Complaint: Chest Tightness HPI: 55-year-old male reporting chest tightness 8 out of 10 that began right before getting in the shower just prior to...

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Beating the Odds, Twice

A Shocking Adverse Effect Chief Complaint: Defibrillator shock HPI: 50-year-old biologic male who identifies as a female presented after reportedly being shocked by her defibrillator 5 times before calling...

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A Shocking Adverse Effect

A Shocking Adverse Effect Chief Complaint: Defibrillator shock HPI: 50-year-old biologic male who identifies as a female presented after reportedly being shocked by her defibrillator 5 times before calling...

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The Not So Simple Status Epilepticus From A Tumor That’s Not A Tumor

The Not So Simple Status Epilepticus From A Tumor That’s Not A Tumor Chief Complaint: Seizure HPI: 16-year-old male brought in by EMS for seizure-like activity for 15 minutes...

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Tastes so good, hurts so bad

tastes so good, hurts so bad Chief Complaint: Esophageal Foreign Body HPI: 31-year-old male presents to emergency department with reports of an esophageal foreign body. He states that he...

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A Superior Cocktail

A SUPERIOR COCKTAIL Chief Complaint: Seizures HPI: 26-year-old male presents to the emergency department by EMS after he reportedly had 2 witnessed seizures by friends, who then called EMS....

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The Slow Roller

the slow roller Chief Complaint: Lethargy HPI: 56-year-old male who uses a wheelchair at baseline arrives via EMS from home with complaints of lethargy. EMS was originally contacted because...

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Atraumatic Spleen Rupture

Atraumatic Spleen rupture Chief Complaint: Abdominal Pain HPI 41-year-old male presents to the emergency department with reports of the same exact abdominal pain as prior episodes of pancreatitis described...

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High Stakes

high stakes Chief Complaint: Chest pain and shortness of breath HPI 37-year-old male reports about 36 hours ago he was on a bicycle riding approximately 20 miles an hour...

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A Painful Twist

a painful twist Chief Complaint Abdominal Pain HPI 47-year-old female presenting to the emergency department with approximately 2 hours of right upper quadrant pain described as sharp, constant, worse...

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Ludwig’s Angina

Ludwig’s Angina Chief Complaint: Neck and jaw pain HPI: 32-year-old female with a history of IV drug use, last injected methamphetamine 2 days ago, presents for 1 day of...

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A Hidden Twist

a hidden twist Chief Complaint Abdominal Pain HPI 5-year-old male presents to the emergency department for abdominal pain, which started this morning. Mother reports the pain woke the patient...

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Mr. Freeze

mr. freeze Chief Complaint: Painful wounds on skin for months HPI: 32-year-old male with past medical history of alcohol use disorder and general anxiety disorder presents with painful skin...

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STEMI or STEMI mimic? That is the question.

stemi or stemi mimic? that is the question Chief Complaint: Chest Pain HPI 24-year-old male with no past medical history presents to the ER with left-sided chest pain since...

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Don’t Pick Your Brain

don’t pick your brain Chief Complaint: Generalized Weakness HPI: 69-year-old male with a self-diagnosis of obsessive-compulsive disorder (OCD) presents to the ED via EMS for being “sick”. The patient...

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The Invisible Bleed

the invisible bleed Chief Complaint: Hematemesis HPI: 43-year-old woman with a history of gastroparesis and seizures suddenly vomited blood about 4 hours prior to arrival to the ED. She...

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COVID-19 Vaccines

COVId-19 vaccines Introduction COVID-19 has emerged to be the most challenging pandemic faced in the 21st century. With total cases as of April 2021 at about 147 million worldwide...

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The Silent Killer Strikes

the silent killer strikes Chief Complaint: Stroke Alert HPI: 68 year old female with past medical history of coronary artery disease status post stent, hypertension, hypothyroidism, hyperlipidemia is brought...

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Should have ordered in

should have ordered in Chief Complaint: Hand Burn HPI: 23-year-old right hand dominant male presenting to the emergency department for a burn to the left hand which he sustained...

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Pneumatosis Intestinalis

pneumatosis intestinalis Chief Complaint: Generalized Weakness HPI: 55-year-old male with a past medical history of hypertension, diabetes mellitus type II, hypothyroidism and testicular cancer in remission presents to the...

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Oh, You Weren’t Just Waving at Me?

Erect sHoulder Chief Complaint: Shoulder Pain HPI: 63 year old female presents after falling while walking down the stairs outside. She notes it was icy on the steps and...

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If the Patient Gets Stuck, Know Where to Turn

If the patient gets stuck, know where to turn Chief Complaint: Left hand pain and swelling HPI: 73 year-old right hand dominant female presents about 6 hours after accidentally...

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Silent, Scentless and Deadly

Silent, Scentless and Deadly Chief Complaint: Headache HPI: A family consisting of a 22-year-old female, 27- year-old male and 10 month-old male presenting to the emergency department by EMS...

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Calcium Burns

Calcium burns Chief Complaint: Calcium Burns HPI: 46 year old male with past medical history of ESRD on HD, hypertension, congestive heart failure and secondary hyperparathyroidism underwent a subtotal...

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Lithium Overdose: The Tale of a Light Metal and its Skinny Therapeutic Index

Lithium Overdose: The tale of a light metal and its skinny therapeutic index Chief Complaint: Lithium Overdose HPI: Patient is a 39-year-old male with a past medical history of...

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Seeking Pleasure, Suffering Pain

Seeking Pleasure, Suffering Pain Chief Complaint: Abdominal Pain HPI: 21-year-old male presenting to the emergency department after placing a glass mason jar in his rectum 3 days ago, this...

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A Rare Package Delivery

A Rare Package Delivery Chief Complaint: Can we get a doctor? HPI: 37-year-old female presents to the ED. Triage nurse announces on the overhead paging system for a doctor...

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Coronavirus Testing

Coronavirus Testing Chief Complaint: SOB HPI: 43 year-old male anesthesiologist presents to the ED with increasing shortness of breath, tachycardia and lethargy. Patient reports alternating positive and negative COVID...

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A Typical Case of the Pandemic

a typical case of the pandemic Chief Complaint: Altered Mental Status HPI: 69-year-old male with history of diabetes brought in by his son to the emergency department with altered...

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TCA Overdose

tca OVERDOSE DISCUSSION: Background: Tricyclic antidepressants (TCA) were introduced in the 1950s to treat depression, but are now more commonly used as migraine prophylaxis and in the treatment of...

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Just the Flu?

Just the Flu? Chief Complaint: Seizure HPI: Patient is a 13 month old M presenting to the ED via EMS following a tonic clonic seizure that per EMS, began...

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Completely Disassociated

Completely disassociated Chief Complaint: Syncope HPI: An 82-year-old male with a history of bradycardia, HTN and HLD arrives in the emergency department via EMS with altered mental status, pacer...

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Superior Vena Cava Syndrome

Superior Vena cava syndrome Chief Complaint: Facial Swelling HPI: Patient presents to the emergency department reporting several days of recurrent facial swelling. She states that when she wakes in...

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Gesundheit!!!

Gesundheit!!! Chief Complaint: Headache HPI: 30-year-old female, G1 P0 5 weeks estimated by LMP, states at approximately 08:15 this morning was getting ready to go to work when she...

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When MCC Stands for Motorcycle Crash and Most Common Cause

When MCC stands for motorcycle crash and most common cause Chief Complaint: Left Arm Pain HPI: 27 y/o RHD female presented via EMS. Patient was a helmeted passenger on...

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Interesting Presentation of DKA

Interesting presentation of dka Chief Complaint: Abdominal Pain  HPI: 41-year-old female presenting with reported elevated blood sugars in the 200s, 3 days of vomiting and diarrhea.  She states that...

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Modified Valsalva Maneuver for SVT

Modified Valsalva Maneuver for SVT Chief Complaint: SVT HPI: Patient is a 49-year-old male with history of prior episodes of SVT and HTN.  He stated that over the past...

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