CC: Bizarre, disorganized behavior
HPI: 23 yo M with unknown pmh sent from Rikers c/f psychosis and med/psych evaluation in light of “bizarre, disorganized behavior.” Per records sent from Rikers, patient has history of cannabis and alcohol abuse and tested positive for benzos at Rikers. No …
CC: Abnormal lab values
HPI: 68 yo F sent to ED by PMD for abnormal lab values. Patient states she had a prolonged episode of epistaxis lasting about one hour 7 days ago and subsequently developed exertional dyspnea and increased lower extremity swelling. Patient endorses …
CC: "a piece of turkey stuck in my throat"
HPI: 39 yo F with no PMH presented with “a piece of turkey got stuck in my throat” during dinner. Immediately afterwards, reports non-bloody, non-bilious vomiting with relief of foreign body sensation. Now unable to swallow saliva. Denied any fever, throat …
CC: Injury to R hand
HPI: 51yo right hand dominant man presents one hour after high-pressure epoxy paint gun accidental injury to right hand. Patient states that while testing a paint gun, a stream of paint hit his hand causing 2 puncture wounds to his palm. …
CC: "I slept all day"
HPI: Patient presented 3 weeks ago to ED with fever and dyspnea and was found to be HIV positive with PCP pneumonia. He was started on treatment with Bactrim, prednisone and HAART. He was feeling well since discharge, compliant with all medications …
CC: Shortness of breath two hours after arthroscopy
HPI: 75 yo F presents with shortness of breath 2 hours after arthroscopy. Patient states she had an outpatient arthroscopy of R shoulder that was uneventful but felt short of breath at discharge, about 30 min post-procedure, that is now progressively …
CC: Refusing to bear weight on left leg x2 days
HPI: Two year-old girl brought in by mom for refusal to bear weight on left leg for the past 2 days. Mom noticed two “bug bites” on the pt’s left knee with surrounding erythema and swelling three days ago. Two days ago, the …
CC: R flank pain x 3days
HPI: 32 yo M w/no PMH reports 3 days of constant, dull, non-radiating progressively worsening R flank pain. He went to outside hospital 2 days ago and was told that he had kidney stones. Per his CT report he had “minimal …