(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
12 year-old boy without significant past medical history presented with substernal chest pain. He was diagnosed to have left lower lobe pneumonia and was receiving oral antibiotics for 2 days prior to this referral. His chest pain subsided after albuterol nebulizer treatment in a local hospital, but he was found to have elevations of cardiac troponin I (cTnI) and creatine kinase (CK)-MB with ST changes on electrocardiogram (ECG), and was referred for further evaluation.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
The patient is a 31 year old male with an unknown past medical history. The police initially found him naked, confused, and acting violently. He was taken to the emergency department, where his initial vitals and physical exam were significant for a temperature of 38.2oC, heart rate of 112 beats per minute, blood pressure of 156/108, diaphoresis, mydriasis, dried blood in his nares, skin pop marks on his arms, and no focal neurological deficits. Pertinent laboratory studies are included in Table 1.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
Police and EMS were called to the scene of a man in his mid-twenties with a past medical history of ADHD. At the scene, the patient was found to be extremely agitated with altered mental status. He was shot multiple times with tasers by the police in order to be subdued.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
The patient is an adult female who presents to the emergency department with complaints of nausea over the past few days and one day of non-bloody, non-bilious emesis. The patient was recently pregnant and delivered a baby girl a few months ago. Although she has been having difficulty keeping food and fluids down, she is continuing to breast feed her daughter. The patient endorses having a cold about a week ago, but denies any new foods, recent travel, sick contacts, diarrhea, illicit drug use, or toxic ingestions. Physical exam is notable for dry mucous membranes and tachycardia. The patient is otherwise afebrile, with a blood pressure of 120/80 mmHg, heart rate of 126 beats per minute, respiratory rate of 16 breaths per minute, and an oxygen saturation of 100% on room air.
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