Case 1
8 y/o male return to ED for abd pain recheck.
Child was initially seen in ED the day before, referred by PMD for r/o appy. Pt also c/o dry cough, runny nose, congestion, sore
throat & pleuritic CP. Child still c/o persistent
vague peri-umbilical pain w/ some anorexia, but
tolerates liquids… more
Case 2
62 y/o female c/o abd pain from being constipated x 2d. Her last BM was 2d
ago. She reports some nausea w/ decreased appetite, but denies V/D, fever, dysuria. She’s currently undergoing XRT for metastatic lung CA to the brain… more
Case 3
A 22 y/o male presented
with fever & diffused rash x 2d. Rash is pruritic
& nontender. He also c/o gen malaise, myalgia & sore
throat. He denies N/V/D, neck stiffness, HA, joint pain, cough, CP or
SOB… more
Case 4
8 y/o girl of
Mediterranean descent returned to the ER with worsening symptoms. She had been
seen 5 days earlier c/o fever, sore throat & a pruritic
rash. The H&P on that visit described the rash as like “sandpaper,” &
the pt was Dx with scarlet fever and given Rx for Amox… more
Case 5
30 y/o male came to the ED
s/p sustaining a laceration across the palmar aspect
of his non-dominant left hand. The posture in the picture below was elicited
during the full neurovascular exam of his hand. What is the name of the sign
& what is its significance… more
56 y/o male presents
to the ED c/o HA & diplopia x 2 weeks. The HA is
described as strong, dull & constant above his right eye. He denies any
trauma or eye pain, and reports that his vision’s improved when his right eye
is closed. He denies visual floaters, haloes… more
20 y/o male presents
to the ED c/o feeling a chicken bone stuck in his throat for the past 3 days.
He’s able to take