Category: Clinical Case Archive

Pearles and Pitfalls of IVDA

This case Courtesy of David Zhou and Patrick Meloy:   EMory Files Case #7:  Deltoid Abscess Hx: 37 yo female with a hx of IV heroin abuse (IVDA) who presents with bilateral shoulder pain. She has been injecting heroin using the skin popping method PE: Temp: 37.3 °C, Heart Rate: 60, RR: 17, BP: 122/58 …

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Spontaneous Hemoperitoneum

A 39 year-old female with current medical history of cocaine abuse and uterine fibroids reports to the ED with 2 days of abdominal pain.  The pain was sudden in onset, sharp, and severe.  It has progressed in severity over the past two days.  The pain was initially in the lower abdomen, but is now diffuse.  …

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Case of the Month #4 Pelvic Fracture

EMory Files Case #4:  Poly-Trauma Hx:   40’s yo M presents with auto v. pedestrian PE:   VS:  Manual BP 80/40, HR 140, B LE Open Deformities, 2+ in all 4, pelvis stable, GCS 7 (2, 2, 3)  Poly-Trauma: ***Case Discussion of Polytrauma with Dr. Prest with Emory Trauma Surgery*** https://www.dropbox.com/s/jqqi8m3e1ng6xzd/Prest%20Polytrauma.MP3 Teaching Point #1:  Problems with airway …

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Case of the Month #5

EMory Files Case #5:  Massive PE Hx:  40 yo F hx of Lupus presents with CP SOB  PE:   VS:  BP 90/50, HR 125, RR 30, O2 88%, afebrile.  Awake and alert, mild distress improved with nonrebreather.   Case Discussion Massive PE: ***Case Discussion Wissam Jaber, Dir. PE Response Team*** https://www.dropbox.com/s/9xv0iqg5f4p9a0e/PE%20Jaber%20Interview.mp3   Teaching Point #1:  Negative …

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Case of the Month: Beta Blocker Overdose

EMory Files  Case #6:  Beta Blocker Overdose Hx:  70 yo presented with AMS s/p seizure. BS 35 in field PE:   VS: HR39, RR 10, 80/40, O2 98% RA.  After 2 amps of D50 àBS 130.  Mental status:  wakes up to follow commands but falls asleep quickly. Beta Blocker Toxicity ***Case Discussion with Dr. Kazzi***  1)  …

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