As you scan the ED trackboard, you recognize the name of a 22 year old patient who you saw the week before after a house fire. At that time, the patient was treated for carbon monoxide (CO) poisoning and briefly admitted to the hospital. Today’s chief complaint is dyspnea and chest pain. You note that the patient is tachycardic, hypoxic, and complained of pleuritic chest pain at triage. You wonder if the prior exposure to carbon monoxide should raise your pre-test probability for certain diagnoses.Read more
Submitted by Lars-Kristofer Peterson, MD
A 23 yo male with a hx of insulin dependent diabetes and recurrent admissions for DKA presents to the ED with complaints of diffuse body aches. He is acutely ill appearing, agitated, and combative with staff, demanding pain medication, entering other patients rooms, and screaming. Realizing that this patient is severely ill, you wonder how you will de-escalate or sedate this patient safely to enable life-saving care to be rendered.....Read more
Submitted by Richard Byrne, MD
Patient presents to the ED with non-specific complaints of intermittent fever, nausea, vomiting, abdominal pain, cough, congestion, headache and myalgias over the past 1 week. Returned from Pakistan 1 month ago.
DDx: Malaria vs Dengue vs Chikungunya vs Influenza vs HIV ...
Submitted by Loran Hatch, DO