In the ED, their vitals/exam are as above. Ddx includes bruise, sprain, fracture, dislocation, subluxation, ligament tear. Lower suspicion for chronic overuse injury, bruise, nerve entrapment, nonunion/avascular necrosis from old trauma, tendopathy, or tenosynovitis given traumatic nature of symptoms – Labs/Tests: None – Imaging: *** wrist x-ray – Treatments: Tylenol/NSAIDs – Consults: None*** – Dispo: […]

In the ED, their vitals/exam are as above. Given narrow complex tachycardia with ventricular rate near 150 and sawtooth pattern on monitor/EKG, patient’s presentation is suggestive of atrial flutter {Blank single:19197:: “with variable block (given irregular)”,”without variable block (given regular)”}. With*** history of accessory pathway necessitating avoidance of AV blocking agents and preference for procainamide. […]

In the ED, their vitals/exam are as above. Concern for intra-abdominal hypertension necessitating immediate or intervention. Hence, will proceed as below including checking for signs of endorgan dysfunction. – Labs/Tests: VBG plus, Lactate, CBC, CMP, Lipase, PT/INR, Type & Screen, BCx, UA, UCx, COVID-19 RT-PCR, bedside bladder pressure (Foley attached to arterial line set up, […]

In the ED, their vitals/exam are as above. The differential for pain just behind the molar includes acute vs. chronic pericoronitis (inflammation of the soft tissues surrounding the crown of a partially erupted tooth) +/- abscess, paradental cyst, food impaction causing peridontal pain, pulpitis from dental caries, acute myofascial pain in TMJ, and oropharyngeal malignancy. […]

In the ED, their vitals/exam are as above. Patient with irregular narrow complex tachycardia on monitor/EKG suggestive of AFib vs. AFlutter (more likely AFib given ventricular rate is not 150 and there is no sawtooth pattern). *** history of accessory pathway necessitating avoidance of AV blocking agents and preference for procainamide/amiodarione. No evidence of >3 […]

In the ED, their vitals/exam are as above. Patient with new irregular narrow complex tachycardia on monitor/EKG suggestive of AFib vs. AFlutter (more likely AFib given ventricular rate is not 150 and there is no sawtooth pattern). *** history of accessory pathway necessitating avoidance of AV blocking agents and preference for procainamide/amiodarione. No evidence of […]

In the ED, their vitals/exam are as above. Differential includes partial/complete Achilles tendon rupture, partial/complete calf tear including plantaris rupture. Lower concern for bruise, dislocation, fracture given no direct trauma. Lower suspicion for concern for DVT given trauma and lack of risk factors. No concern for osteo vs. cellulitis on exam today. – Labs/Tests: None […]

In the ED, their vitals/exam are as above. Abscess +/- surrounding cellulitis***. I doubt osteomyelitis but will obtain an x-ray. I doubt has a necrotizing fasciitis patient’s pain not out of portion and rest of exam not consistent with necrotizing fasciitis and the patient is not diabetic. – Labs/Tests: Mark cellulitis. Consider lactate, CBC, Chem […]

In the ED, her vitals/exam are as above. Regarding the patient’s vaginal bleeding, DDx includes expected post-abortion course and retained products of conception.low suspicion for UTI, cystitis, vaginitis, PID, ruptured ovarian cyst.  Much lower concern for torsion or ectopic pregnancy considering patient’s normal vital signs, no active vomiting, and minimal abdominal tenderness. – Labs/Tests: UPreg. Low threshold […]

In the ED, their vitals/exam are as above. The differential for the patient’s symptoms is very broad and includes diverticulosis, diverticulitis, colitis, enteritis, pancreatitis, pancreatic ulcer, peptic ulcer disease (including perforated ulcer), epigastric hernia, gastroesophageal reflux disease, gastritis, gastropathy, esophageal spasm, functional dyspepsia, gastroparesis, intestinal obstruction +/- colon cancer, biliary colic, acute cholecystitis, acute cholangitis, […]