Articles Archives - Page 4 of 4 - The Emergency Medical Minute


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 around 9:30 AM and lasted at least 15 minutes. The patient’s family is primarily Spanish-speaking and was unable to give adequate history secondary to the language…

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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 pads in place active pacing going. Patient is primarily Russian-speaking and his wife is assisting with translation. The patient is not able to correctly answer what…

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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 the morning, starting 3 days ago, she has significant facial swelling. Yesterday there was some extension of the swelling down to her bilateral upper extremities and…

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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 sneezed and immediately developed a severe 8 out of 10 headache. Shortly after, she vomited and had diplopia that lasted for 1 to 2 minutes. Diplopia…

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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 a motorcycle that was hit by a car immediately prior to EMS arrival. Upon EMS arrival, the patient was lying in the supine position with an…

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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 she vomited twice today without any blood. She states that about 2 weeks ago she was started on a new medication called Farxiga.  She has no…

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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 5 years he’s had approximately one episode every 6 months.  He stated that a cardiologist instructed him that he should have an ablation that he likely…

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