Case by Ilana Lavina MD, CNMC PEM Fellow A previously healthy 17-year-old female is presenting with 3 months of abdominal pain, distension and anemia. She is being referred in by an outpatient GI at another institution. The patient reports that she had been in her usual state of health until 3 months ago when she […]
Author: Brandon Ho
Hot Seat #209: Ultra-Sounds Like an Unclear Diagnosis
Case by Malek Mazzawi MD, CNMC PEM Fellow Patient is a 16-year-old female presenting with 2 days of RLQ pain, nausea and tactile fevers. Abdominal pain is burning, constant, and gets worse with meals/deep breaths. She endorses nausea but no emesis. No urinary symptoms. No abnormal vaginal discharge. Denies any cough, congestion, vomiting, or diarrhea. […]
Hot Seat #208: This Hip Don’t Lie
13 yo M presenting with worsening left low back pain. Two weeks ago, he was lifting a heavy tire in football practice and felt like something “pulled” in his back. 5 days ago, he presented to the ED with continued back pain and new fever, cough, and blood-tinged post-tussive emesis. CXR and UA at that time were negative. Found […]