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Case 70: A Silent and Rapid Expansion
Natalie Sarafian, Elaine Yu
A 62-year-old male with a history notable for HFrEF (on Lasix), HIV, cirrhosis with varices, ulcerative colitis, methamphetamine use, and Hodgkin’s lymphoma (in remission) presents to the emergency department with acute onset shortness of breath and chest pain. His exertional dyspnea and ...
Case 69: Expedited Workup for a Low-Risk Pulmonary Embolism
Julia Kelly, Cameron Smyres
A 62-year-old man who was recently diagnosed with colon cancer presents to the ED after being diagnosed with a pulmonary embolism on outside CT imaging. The patient had a CT scan of his chest for cancer staging and an incidental PE was found. He was told to seek care at the ED. The patien...
Case 68: Erector Spinae Plane Block for Rib Fracture Pain
Anthony Galvez, Tommy Ngo, Akash Desai
A 62yo male with a history of HIV and hypothyroidism presents to the ED with left-sided chest pain and shortness of breath after a near-syncopal episode followed by a fall 3 days prior. The patient was carrying groceries when he suddenly felt lightheaded and fell to the ground....
Case 67: D-sign in a Post-Cardiac Surgical Patient
Liz Temple, Colleen Campbell
A 51-year-old male patient with past medical history of mitral valve prolapse s/p complex mitral valve repair with left atrial appendage exclusion and repair of atrial septal defect complicated by perioperative pericarditis was directly admitted to the ICU following outpatient echocardio...
Case 66: Rapid Diagnosis of Hemorrhagic Ovarian Cyst in a Reproductive-age Patient
Brigid Larkin, Colleen Campbell
A 20-year-old female with no significant past medical history presented to the emergency department with 5 days of focal right lower quadrant abdominal pain progressively worsening in severity. The pain was constant and non-radiating, accompanied by generalized abdominal discomfort, n...
Case 65: Knee Pain
Colleen Sweeney, Akash Desai
A 55-year-old female with no pertinent past medical or surgical history was brought in by ambulance after a bicycle accident with left knee pain. She was unhelmeted while riding a bicycle going 10mph when she collided into an e-bike.&nbs...
Case 64: Ocular emergencies: A case of macula-on retinal detachment seen on POCUS
Theresa Jo Thomas , Akash Desai
Case: A 49-year-old female with a past medical history of type 1 diabetes on insulin and myopia presented to the emergency department for vision changes. The patient stated that three days ago she noticed “flashers” in the vision ...
Case 63: Point-of-Care Ultrasound in Inferior Glenohumeral Dislocation (Luxatio Erecta)
Makhlouf Bannoud, Colleen Campbell
A 22-year-old male with no significant past medical history presented to the emergency department with right shoulder pain and visible deformity after a surfing injury. He reported that a wave forcefully pulled his surfboard while he was holding on, followed by an audible “po...