Core Cases

September 2017

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CC: Fever and cough

HPI: 59yF HIV on ART last CD4 716, undetectable VL, HTN, CKD p/w non-productive cough and fever x10d. 5d PTA she presented to the ED for dry cough, had CXR WNL, lab values WNL except Cr 3.2 and was discharged with …

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August 2017

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CC: Abdominal pain

HPI: 27yF with h/o anxiety p/w abdominal pain x1d. Pain started yesterday evening, intermittent, a/w nausea and diaphoresis. Began as generalized pain but when supine, radiates to chest a/w mild SOB, otherwise localizes to the right abdomen with radiation to the …

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May 2017

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CC: Cyanosis

HPI: 83yF PMH HTN, HLD p/w fatigue and cyanosis. Reports that all day she has been feeling fatigued and was noted to have a blue color so her son called 911. On arrival she is cyanotic and hypoxic to 80-85% on …

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March 2017

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CC: Altered mental status

HPI: 58yF PMH thoracoabdominal aortic aneurysm s/p stent and HTN p/w AMS. Per husband, the patient was in her USOH, walked home from work and suddenly complained of chest pain and bilateral arm tingling. She sat down and suddenly seemed to fall back into the chair. …

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February 2017

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CC: Abnormal movements x1 week

HPI: 7yF w/ no PMH brought in by her parents with progressively worsening involuntary movements x 1 week, slurred speech x 3 days. The movements improve but persist during sleep. No trouble eating/swallowing or handling her secretions. She has remained alert, …

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January 2017

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CC: Cardiac arrest s/p ingestion

HPI: 58yF w/ unknown PMHx arrives via EMS in cardiac arrest. Per EMS, patient called 911 stating that she wanted to kill herself. When they arrived they found her pulseless on the floor with a bag of medications beside her, all …

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December 2016

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CC: Extremity weakness

HPI: 67yM PMH HTN, HLD, gastritis, MI s/p stent on prasugrel, chronic low back pain presents with RUE weakness s/p fall. Patient exacerbated his back pain a week ago and has been mostly resting in bed since. This evening, he was taking a …

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November 2016

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CC: Dizziness

HPI: 31 y/o M presents with acute onset dizziness w/ nausea and vomiting. Sx started suddenly yesterday PM w/ dizziness described as “sensation of room spinning around me” that lasted for approximately 15 min, a/w nausea and mild bifrontal headache (similar …

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