Sydney Tabaac, MD
History: A 64-year-old woman presents to the ED via EMS after a witnessed seizure lasting less than 1 minute. The patient appeared post-ictal for EMS but is currently alert and oriented. She does not recall what happened.
A 17 yo F with no PMHx presents to Urgent Care w/ L sided chest pain. Pain sharp, radiates to L upper back, has been intermittent x 1 month, worse x last 2-3 days. No exacerbating or relieving factors. She denies fever/chills, cough/URI sx, LE pain/edema. No prior hx of DVT, no OCPs. On exam, she is anxious appearing. She is tachycardic to the 120s with normal heart sounds. Spo2 is 100% and breath sounds are diminished on the left. A CXR is done and shown below. What's the diagnosis?(scroll down for answer)
It is the middle of the Covid-19 pandemic. A 9 yo male presents with one week of flu-like symptoms. You wonder if this is just a viral syndrome or something more ominous as you head for the room....(it is something more ominous)