UOTW #46

The patient is a 24 year old G1P0 at 12 weeks GA who presents to your department with sudden onset severe left flank pain. No history of fertility treatment, no vaginal bleeding. The patient is pale and has severe diffuse abdominal tenderness.  BP 82/34 P 135 R 20 T 98.6F.

Answer

UOTW #45

A 25 yo female presented with 2 days of abdominal pain. The pain started in the mid-abdomen, subsequently moving to RLQ. She was initially seen at an urgent care that uncovered an elevated white blood cell count, and the patient was sent to the emergency department. The patient reported nausea without vomiting.

The patient was initially seen in the hallway since no rooms were available, and the following ultrasound image was obtained:



Answer

UOTW #43

29 yo male presents to the ED with the chief complaint of penile pain after approximately 8 hours of continuous coitus. He reports that the pain is worse with erections, but still present when flaccid. He denies fever, chills, n/v or any other signs or symptoms of systemic involvement. The patient denies any other medical history, or a family history of clotting disorders. Physical exam reveals a normal appearing flaccid penis that is mildly tender at the base. No discoloration is noted.

Answer