Volume 15, Issue 4, July 2014
Maryam Kia, MD et al.
A 55-year-old woman with a 3-month history of abdominal pain presented to the emergency department with chief complaints of worsening abdominal pain and per os intolerance since 3 days ago. Her medical history was noteworthy for watery diarrhea without fever, loss of appetite, weight loss, and nausea and vomiting.
Volume 15, Issue 4, July 2014
Serpil Yaylaci, MD et al.
An 11-year-old boy was admitted to emergency department with abdominal pain, bilious vomiting and rectal bleeding one day after falling from bicycle. He stated that he landed directly onto the handlebar through his left lower quadrant of the abdomen.
Volume 15, Issue 4, July 2014
Caleb P. Canders, MD et al.
A 42-year-old woman presented with a left lower extremity ulcer. Three weeks prior, she had been struck by a motor vehicle and developed bullae on her thigh, the main area of impact. She could not afford to see a primary doctor, and had been applying a low-cost, over-the-counter topical antiseptic solution to the site since the accident.
Volume 15, Issue 4, July 2014
Jesse Kellar, MD et al.
A 19-year-old man presented to the emergency department complaining of two days of right arm pain and swelling. The pain started while lifting weights. He did not experience a pop or pulling sensation. He stated his arm felt a little cold but otherwise denied numbness or tingling. He denied chest pain, neck pain or shortness of breath.
Volume 15, Issue 4, July 2014
Danielle D. Campagne, MD et al.
A restrained 20 year old male driver presents after a rollover motor vehicle collision. He is repetitive after sustaining a loss of consciousness, but is a Glasco Coma Scale of 15 on arrival. He is complaining of left ear and shoulder pain. He has no focal findings other than a ruptured left tympanic membrane
Volume 15, Issue 4, July 2014
Ozlem Bilir, MD et al.
A 60 year old female, with a history of atrial fibrillation who was on warfarin therapy, presented to our emergency department with chief complaint of the most severe headache that she ever had. Her vital signs, systemic and neurological examinations were normal.
Volume 15, Issue 4, July 2014
Jiro Tamura, MD et al.
A 59-year-old man had been admitted to our hospital three times with tarry stool, hematemesis, and abdominal discomfort. His medical history included no abdominal operation. Repeated upper endoscopy, colonoscopy, and computed tomography (CT) had been negative.
Volume 15, Issue 4, July 2014
Michael R. Minckler, MD et al.
A 51-year-old male with a history of chronic obstructive pulmonary disease and obstructive sleep apnea presents to the emergency department complaining of 48 hours of progressive right eye pain and swelling after he ran into his dresser while sleep-walking. He does not know which surface of the dresser contacted his eye. He denies changes in visual acuity, flashes, or floaters.
Volume 15, Issue 4, July 2014
Yalcin Golcuk, MD et al.
A 83-year-old man with a history of urinary stone disease presented to the emergency department with abdominal and right-sided flank pain. Examination demonstrated distended abdomen and right costovertebral angle tenderness.
Volume 15, Issue 4, July 2014
Caleb P. Canders, MD et al.
A 63-year-old man presented with abdominal distension and shortness of breath for two days. He reported flatus and denied chest pain, anorexia, vomiting, or abdominal pain.
Volume 15, Issue 4, July 2014
Landon A. Jones, MD et al.
A 37 year-old male presented after an altercation in which he was dragged by a vehicle. The patient was intoxicated and asking repetitive questions. He demonstrated significant facial trauma—including frank bloody discharge from both ears and dental trauma.
Volume 15, Issue 4, July 2014
Meghan Galer, MD et al.
A healthy 58-year-old man presented to the emergency department with right arm weakness first noticed while playing hockey that day. He could not recall the onset of injury, but endorsed several weeks of antecedent intermittent right shoulder discomfort.
Volume 15, Issue 2, March 2014
Amar Patel, MD et al.
A 58-year-old male with schizophrenia presented to the emergency department after being shot by law enforcement with two bean bag rounds. He was shot once in the upper abdomen.
Volume 15, Issue 2, March 2014
Christopher Coyne, MD et al.
A previously healthy 48 year-old male presented to the hospital with a 4-week history of “pimples” on his scrotum. This condition had progressively worsened, resulting in increased pain, swelling and redness to the genital region and buttocks.
Volume 15, Issue 2, March 2014
Nathan J. Cleveland, MD, MS et al.
A 28-year-old female was transferred to the emergency department from her physician’s office for further evaluation of tachycardia. She was being seen for a recent illness which included nausea, vomiting, diarrhea and fevers. The patient endorsed fatigue, dyspnea on exertion, and extremity edema. She had no chest pain or cough. Exam revealed a pale, fatigued, mildly ill-appearing female with bilateral lower extremity edema and diminished breath sounds on the right.
Volume 15, Issue 2, March 2014
Jayten Shook, DO et al.
A 25-year-old woman presented to the emergency department (ED) with 4 days of progressive, left-sided neck pain and swelling. Additional symptoms included sore throat, dysphagia and left otalgia.
Volume XV, Issue 1, February 2014
Francis M. Fesmire, MD et al.
Examination on arrival to the emergency department revealed altered mental status, right hemiplegia, forced leftward gaze, and complete aphasia. Patient was ineligible for tissue plasminogen (TPA) therapy due to unknown time of symptom onset. Computed University of Tennessee College of Medicine Chattanooga, Chattanooga, Tennessee Figure 1. Transverse (left) and coronal (right) computed tomography angiogram demonstrating abrupt cutoff of the left middle cerebral artery at the site of the thrombus (marked by arrows). Tomography angiogram (CTA) revealed occlusion of the left middle cerebral artery (MCA) with acute thrombus (Figure 1).
A 85-year-old man with sudden onset of dyspnea and chest pain with an history of immobilization due to right tibia plateau fracture after traffic accident 2 months ago was admitted to our emergency department.
An approximately 30 year-old Ugandan male was found unresponsive on an American base in Iraq. The patient was altered and combative with no signs of trauma. A chest x-ray was performed showing an enlarged cardiac silhouette and pulmonary edema. The patient required intubation during which a large amount of edema fluid was produced.
A previously healthy 30-year-old woman (gravida 1 para 1) presented to the emergency department (ED) with 5 days of lower abdominal pain, fever, and nausea. On examination, she had a temperature of 37.6° Celsius, pulse 116 beats/ minute, blood pressure 123/65 mmHg, respiratory rate 18 breaths/minute, and oxygen saturation 98% on room air. On bimanual examination, the patient exhibited bilateral adnexal tenderness, but no cervical motion tenderness. Relevant laboratory studies included negative urine beta-hCG, white blood cell count 17.4×103/μL and lactate 2.4 mmol/L.
A previously healthy 14-year-old male presented to the emergency department (ED) complaining of 2 days of subacute onset, right-anterior pleuritic chest pain. He reported an associated dry cough, but denied fever, sputum, hemoptysis, shortness of breath, orthopnea, leg swelling, weight loss or night sweats. The patient had no known sick contacts, and had no identifiable cardiac or thromboembolic risk factors.
A 67-year-old man presented with painful oral and skin lesions developing over the last 2 months. The lesions initially formed in his mouth and lips, and slowly spread to his torso, groin, and extremities (Figure 1). The lesions began as blisters that broke easily and were exquisitely painful to light touch.
A 51 year-old woman was found confused while crawling across a field. She had marked facial cyanosis and edema with cutaneous petechiae, subconjuctival hemorrhages, and echymosis across her anterior neck (image 1).
Author Affiliation Bruce M. Lo, MD Eastern Virginia Medical School, Sentara Norfolk General Hospital, Department of Emergency Medicine, Norfolk, Virginia A previously healthy 36-year-old male who was a restrained driver presented with bilateral hip pain after a motor vehicle collision (MVC) put his vehicle in a ditch. On examination, the patient was alert and oriented […]
