Category Archives: Cases

An unusual headache

A 66 year-old woman presented to the emergency department complaining of a headache for the past 6 weeks. She described it as a throbbing pain in the frontal region and behind her eyes. She had no neurologic complaints, no vision changes, no scalp pain or jaw claudication. Her past history was significant for hyperparathyroidism, migraines, […]

Does shoulder dislocation = 2 x-rays?

Case: A 65-year old healthy lady presents with left shoulder pain after sustaining a fall on outstretched arm injury while walking her dog. She complains about inability to move her left shoulder and severe pain. There was no associated head or neck injury. She has no prior history of shoulder dislocation. She is hemodynamically stable […]

Just another gastro – or is it?

A 30 year-old female presented to the ED with vomiting and diarrhea that began 4 hours ago. This was associated with crampy periumbilical pain. Her vitals signs were stable and she was afebrile. Her abdominal examination was benign, with no peritoneal findings and a negative Murphy’s sign. Her labs were remarkable for slightly elevated WBC […]