This week’s Weekly Report comes from Dr Maryam Arshad. A 26 year old male presented to the ED after being struck in the face with a baseball. His pain was isolated to the right orbit. Physical exam revealed a hyphema occupying approximately one third of his anterior chamber. There was no clinical concern for globe …
Category: Weekly Report
Apr 02
Weekly Report – Tick Exposure
This week’s Weekly Report comes from Dr. Maryam Arshad: A 37 year old male presents with flu like symptoms. He has a subjective fever, body aches, cough, and congestion. He also notes a recent tick bite one week ago and removed the tick by himself. He has no rash. Clinical question: Should this patient have …
Mar 22
Weekly Report – Foot Pain
This week’s Weekly Report comes to us from Dr. Davlantes. 30 F with a history of obesity and obstructive sleep apnea presents with bilateral foot pain after losing her balance. She was trying to step over her child who was crawling around on the ground, and twisted her feet when she “landed funny.” She is now unable to bear weight …
Mar 14
Weekly Report – Seeking Closure
You are working a busy trauma shift when a 19 year old male comes in after a dirt bike accident. Fortunately for him he has no significant injuries, but he does have a number of lacerations that require closure including a scalp lac, full thickness lip lac, eyelid lac, and multiple extremity lacs. As you …
Feb 24
Weekly Report – Just Constipation?
Just Constipation?: Functional v. Organic Causes of Slow Stooling (or Defecation Delays) Mom brings a previously healthy 11 month-old male to the Pediatric Emergency Department because the boy has not had a bowel movement for four days and seemed “fussy”. He has continued to eat, is not vomiting, having fevers, experiencing rectal bleeding, and is not …
Jan 18
Weekly Report – Thyroid Storm
Presentation: 50 yo F with PMH of hypertension presents for shortness of breath and altered mental status. The patient is lethargic in obvious respiratory distress. Her BP is 230/130, HR is 170, RR is 35, O2 is 90% on NRB, and Temp is 38.1. She has crackles throughout all lung fields. She is intubated for respiratory …