a known case of nephrotic syndrome aged 32 months was admitted to icu because of loss of consciousness. in physical exam he had tachycardia, tachypnea and hypotension. lab data showed metabolic alkalosis and hypoxia. in cxr, vascular cut off was seen in right lung and perfusion lung scan showed absence of perfusion in the right lung.treatment was started with heparin and streptokinase, but unfo...

Isolated posterolateral corner (PLC) injuries are rarely seen with tibial plateau fractures and can be missed during the initial assessment. The objective of this paper is to present a case of a Schatzker type 2 tibial plateau fracture with associated isolated PLC injury and give a discussion on physical exam, diagnostic studies, and treatment options. A twenty-five-year-old female sustained a ...

Pulmonary hypertension is a disease with many etiologies and is responsible for 200,000 admissions and 25,000 hospitalizations in the United States each year. We report the case of a previously healthy 58-year-old woman who presented to the emergency department with a months-long history of worsening dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. Despite the severity of her s...

It's natural to feel frightened when experiencing something new, especially when it involves something as personal as birth control or as private as a gynecological exam. It's great that you're seeking information about what?s involved to ease your concerns. During your appointment, the medical professional will likely ask you questions about your medical history and then conduct a physical and...

CASE REPORT Apreviously healthy six-year-old boy presented with painless swelling in the left frontal region that had been slowly progressing in size over the past four months. The patient denied any accompanying systemic or neurological symptoms. On exam, a 2-cm firm lesion was palpable in the left parasagittal frontal region. The lesion was not tender to palpation and there was no surrounding...

It's natural to feel frightened when experiencing something new, especially when it involves something as personal as birth control or as private as a gynecological exam. It's great that you're seeking information about what?s involved to ease your concerns. During your appointment, the medical professional will likely ask you questions about your medical history and then conduct a physical and...

Physical exam alone is often insufficient to determine whether or not cellulitis is accompanied by an abscess. Bedside ultrasound can be a valuable tool in ruling out suspected abscess by allowing direct visualization of a fluid collection. The proximity of the infection to adjacent structures can also be determined, thus aiding clinical decision making. Patients with cellulitis near the eye an...

A twenty-five-year-old female presented with a large retroperitoneal mass. Workup included history and physical exam, imaging, biopsy, colonoscopy, and gynecologic exam. After surgical resection, the mass was determined to be a primary retroperitoneal mucinous tumor (PRMT). Clinically and histologically, these tumors are similar pancreatic and ovarian mucinous neoplasms. PRMTs are rare and few ...

CASE REPORT A 41-year-old female presented to the emergency department with nausea, vomiting and foreign body sensation in her throat. The patient had multiple co-morbidities including hypertension, diabetes, cervical cancer and gastroparesis with gastrojejunostomy (GJ) tube. The patient had stable vitals, was in no respiratory distress, and her only complaint was mild throat pain and abdominal...

It's natural to feel frightened when experiencing something new, especially when it involves something as personal as birth control or as private as a gynecological exam. It's great that you're seeking information about what?s involved to ease your concerns. During your appointment, the medical professional will likely ask you questions about your medical history and then conduct a physical and...