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Case 48: The Gut Feeling Was Right
Kanchi Mehta
A 38yo male with history of diverticulitis complicated by sepsis presented to the ED with lower quadrant abdominal pain. He noted that the pain started 2 weeks ago and became worse. He reported normal bowel movements in the morning, denied fever/chills, nausea, vomiting, or genitourinary symptoms. A rec...
Case 47: Abdominal Wall Perforation
Cloie June Chiong
A 37 year old male with a past medical history of ulcerative colitis, now status-post total abdominal colectomy with a creation of end ileostomy, left-sided ureteral lysis due to retroperitoneal fibrosis, robotic-assisted proctectomy with creation of an ileoanal pouch and diverting loop ileostomy, ...
Case 46: Skin and Soft Tissue Infection
Alma Fregoso Leyva
73 year old male with a past medical history of coronary artery disease, congestive heart failure, COPD, pulmonary fibrosis on 5L NC, and left lower extremity prosthetic joint infection s/p total femur replacement presented via EMS with 3 days of worsening left lower leg pain and swelling. He repo...
Case 45: Distal Both Bone Fracture
Teini Elisara
Case
An 82 year old female with a past medical history of anemia of chronic disease, breast cancer, diabetes mellitus, hypertension, osteoporosis, rectal adenocarcinoma, scleroderma with pulmonary involvement, and systemic lupus erythematosus presented to the emergency department after a mechanical ...
Case 44: Interscalene Nerve Block for Shoulder Dislocation
Josh Gieschen
Case:
32yo male with no PMH who presents following a fall down the stairs with no head strike or loss of consciousness. He endorses left shoulder pain and inability to range his left shoulder. He has never dislocated his shoulder before. His pain is 8/10 and limited to the L shoulder, worse with mot...
Case 43: Shortness of Breath
Molly Chou
An 83-year-old male presented to our emergency department with shortness of breath. He woke up that morning with symptoms and called EMS. On arrival, the patient was alert and oriented with SpO2 90% on room air. The patient had a recent admission for right middle and lower lobe pneumonia. He also reported...
Case 42: Nephrolithiasis
Alex Liang, Rachna Subramony
A 48 year old male with past medical history of Crohn’s Disease, cryptogenic cirrhosis, pancytopenia, portal vein thrombosis, Factor V Leiden, and prior history of kidney stones presenting with right sided flank pain, dysuria, and hematuria worsening over the past 4 days. He reports simi...
Case 41: Abdominal Aortic Aneurysm
Skyler Sloane, Benjamin Supat, Colleen Campbell
An 83-year-old man presented to the emergency department with a chief complaint of acute onset lower abdominal pain radiating to the right groin. The patient reported a history of hypertension, coronary artery disease, and nephrolithiasis.
Vitals: BP 71/51 | P...