A 52-year-old male presents to your South Texas ED for his second visit this week complaining of indolent fever, shortness of breath, pleuritic chest pain, and a rash on his trunk and extremities. He was diagnosed with a viral syndrome three days ago but his symptoms have worsened despite supporti...
A 75-year-old female with past medical history of osteoporosis and total hip arthroplasty (3 months prior) presents with acute left hip pain after ground level fall. Initial vital signs include T 36.8, HR of 91, BP 138/88, RR 16, SPO2 98% on RA. On exam she is found in moderate distress lying supine...
A 51-year-old male with a history of AIDS presents with his partner with confusion over one month. Per the patient’s partner, he has not experienced any fevers, chills, cough, congestion, or recent illness and was not complaining of headaches or vision changes. The partner does not know of any oth...
A 3-year-old male with no previous past medical history, born full term, and unvaccinated presents after 6 days of cough, fever, myalgias, and rhinorrhea. His mother states that he appeared improved until today when he developed high-pitched inspiratory noises and appeared overall unwell. Vitals are...
A 62-year-old female patient with a history of recurrent urinary tract infections (UTIs) presents to the emergency department with fever, chills, and dysuria. Her recent urine culture results show growth of Escherichia coli resistant to third-generation cephalosporins but susceptible to carbapenems....
A 17-year-old right hand dominant male with no past medical history comes in complaining that he broke his right finger after being tackled at football practice. You note a right hand with all fingers held in flexion except for his right index finger, which is in extension. There is some tenderness ...
A 70-year-old female with a past medical history of hypertension, coronary artery disease status post 2x drug eluting stent placement one month ago, atrial fibrillation on apixaban presents to the ED with weakness and lightheadedness. Vital signs include BP 90/48, HR 122, T 98.3 F, RR 16, SpO2 97% o...
A 45-year-old man presents with right calf pain after playing basketball earlier today. As he began to run for a ball, he felt a sudden sharp pain in the back of his leg, as if he had been kicked. He can bear weight but is unable to push off with his right leg. On exam, there is swelling and tendern...
