The Morning Report

The Best in FOAM Education

March 9, 2020

A 27 year old male with a past medical history of IV drug use (IVDU) presents with 9 days of fever and malaise. Over the last few days he developed a worsening cough. Today he woke up feeling extremely short of breath with a productive cough.

Vitals: T 38.4, HR 104, RR 26, SaO2 92%

General: Ill a...

A 70 year old female presents for shortness of breath. She has a past medical history of HTN, HLD, DM, and is a current everyday smoker. The patient came to the ED with back pain three days ago and was discharged with a muscle relaxer. Her back pain resolved, but today she suddenly became short of b...

November 18, 2019

A 67 year old male with a history of DM-2, HTN, HLD, CAD s/p MI with cath and ICD/pacemaker placement presents to the ED for evaluation of palpitations. The patient is visiting family and he forgot his ICD/pacemaker card at home. His wife does not recall the name of the ICD/pacemaker brand. You init...

October 7, 2019

A 74 y/o F, with PMH of A-fib on Xarelto presents in acute respiratory distress, reporting sudden onset yesterday of palpitations and shortness of breath that has progressed in severity. She reports it “feels like an exacerbation of my Afib.”

  • ECG: A-fib with rapid ventricular respo...

September 11, 2019

A 75 year old female presents to the emergency department via EMS for evaluation following an overdose with reported suicidal ideation and unknown time of ingestion. Per EMS, the patient was last seen well last evening. Just prior to arrival, she was found in her bed by her neighbors with minimal re...

August 6, 2019

Pericarditis is an inflammation of the parietal or visceral layers of the heart. It has many causes, can mimic many conditions, and requires early diagnosis for prompt treatment in order to avoid long term sequelae.

How does it present?

  • Sharp/pleuritic chest pain

  • Radiates to back or shoulders

    ...
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