Articles Archives - The Emergency Medical Minute

Articles

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 was eating chicken and had a large piece of chicken get stuck in his chest. He is vomiting up liquid after attempts of swallowing water, not…

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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. Described as tonic-clonic. EMS notes that he was postictal on arrival. Patient notes that he has not had seizures before in the past. He reports that…

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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 occupants of the patient’s home thought his blood glucose level was low. The patient had slowed respirations and was bradycardic upon EMS arrival. His blood glucose…

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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 as beginning last night, progressively worsening, 10 out of 10, epigastric, sharp, and stabbing. It is the same as pancreatitis pain he has had in the…

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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 when he went over the handlebars and impaled his left shoulder with a tent pole that was planted into the ground. At that time, it went…

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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 with movement, and associated with nausea. Patient self-induced emesis x1. She has never had this before. It did not change with 2 tablets of Tylenol at…

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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 right-sided neck and jaw pain with associated swelling. She denies trauma, dental pain and sore throat. She states the pain started around lunchtime yesterday and that…

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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 up from sleep. Reports the pain is crampy and patient has been crying since he woke up at 9:00. Mother reports she thinks this happened one…

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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 wounds to the right thigh for approximately four months. He curbed his cravings for EtOH with inhalant use. He uses keyboard duster cans several times a…

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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 7 AM. The pain started while he was riding his bike, reliably when his heart rate was above 130 on self-monitoring. He reports pain then radiated…

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