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Case #58 “Sticky Bun Plus One” by Charlene Babcock Irvin, MD

The nurse calls you to triage to check out a 32 y/o female who arrives with chief complaint of passing out. The nurse tells you she passed out at work, but the nurse is concerned as she is hypotensive...

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Case #63 “Can I Have a Sandwich Now?” by Charlene Babcock Irvin, MD, FACEP

A 23 y/o female arrives as a Code II trauma.   EMS notes she ‘fell out of a car’ as it made a turn.  EMS note vital signs are fine, and the patient won’t cooperate with the C-collar or back board. She...

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Case #84 “Not a Simple Cough!” by Charlene Babock Irvin, MD, FACEP

On a busy Saturday night shift, I finally get around to a chart that was sitting in my ‘to see’ box for about 45 min.  As the vital signs were normal, and the chief complaint was ‘cough’ in a 27 y/o...

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Case #93 “Ready Or Not, Here He Comes!” by Charlene Babock Irvin, MD, FACEP

A patient presented for transport to labor and delivery by EMS.  EMS notes she is a G6P5, with contractions every three minutes.  Labor and Delivery is on the 4th floor, about seven minutes away (and...

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Case #94 “Jump Up and Down!” by Charlene Babock Irvin, MD, FACEP

My sister called one morning and told me Fred, my nephew, wasn’t feeling well.  As the only physician in my immediate family, these calls are not unusual.  She said he was complaining of a stomach...

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Case #95 “It’s Higher than You Think” by Charlene Babock Irvin, MD, FACEP

A 38 y/o obese man presents with chest pain that started after he coughed and sneezed at the same time. It was very strong initially (10/10), but then it eased up.  He is still having the pain (6/10),...

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Case #123 “Transfer Mistake-Not″ by Charlene Babcock Irvin, MD, FACEP

A 52 y/o male presents with a one day history of abdominal pain, nausea and vomiting. He thought he had food poisoning, but now is feeling even worse and is worried something more serious is going on....

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Case #137 “Be Gentle with Genitals!″ by Charlene Babcock Irvin, MD, FACEP

“I just saw a patient with an infection in his penis.  I think its balanitis.  The glans is very red, inflamed and swollen” said the resident.  “He has a history of psychosis, but is controlled on his...

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Case #139 “Chomper Challenges″ by Charlene Babcock Irvin, MD, FACEP

A 22 y/o male presents with jaw pain.  He notes he has had a toothache for the past week, but yesterday his jaw began to swell.  Today the pain is worse.  PE:  Fever 101.8, RR=18, HR=110, BP=138/88,...

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Case #164 “Don’t forget the ROS!” by Charlene Babcock Irvin, MD, FACEP

A 63 y/o male presented with a chief complaint of left leg pain. Nurses triage note stated: “Complaints of pain all over, refuses to walk, states pain 10 out of 10, appears comfortable in wheelchair.”...

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