Articles Archives - The Emergency Medical Minute

Articles

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 reports he has not been able to get up so he has not eaten in 4 days. The patient reports he has not seen a doctor…

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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 has never vomited blood like this before. She describes copious hematemesis with clots. She has a history of esophagitis with mild hematemesis several years in the…

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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 and 32 million in the US, this virus has demanded our attention since 2019. International efforts have shifted from limiting the spread of the virus to…

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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 in by EMS as a stroke alert after being found unresponsive in bed by family prior to arrival. Last known normal is 10pm last night when…

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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 just prior to arrival. He reports that he was frying chicken when the oil started on fire. In a panic, he ran with the pan outside…

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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 Emergency Department with the chief complaint of shortness of breath and generalized weakness. He reports he was in his normal state of health the day prior….

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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 was using the railing for support with her left hand. She states when she slipped that she tried to catch herself and all of her weight…

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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 self-injecting her left hand with about 2 mL of bovine viral vaccine (most of the vaccine got into the cow but when it moved she slipped)….

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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 with family with concern for headache. Female is reporting around 1612 she came home from work and was doing her hair when she began experiencing a…

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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 parathyroidectomy without complications 18 days ago. Pt had extravasation of IV calcium chloride infusion to his right forearm 17 days ago; hand surgery was consulted and…

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