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Case Report: The Hangover and the Lateral Canthotomy

In Case Series, Medical Concepts by Steve LinLeave a Comment

Alan Garner is a 38-year-old single, unemployed, Caucasian male, with a medical history of ADHD who has voluntarily arrived at the ED accompanied by friends Stu and Phil after being punched in the face while trespassing. Despite having a poor recollection of the night’s events, Alan and friends are certain that he received a sucker punch by none other than Mike Tyson, the former undisputed world heavyweight boxing champion. Phil informs you that, …

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Grey’s Anatomy Case Review: Don’t Get Burned

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After a mass casualty incident involving a hotel fire, the Seattle Grace Hospital was in chaos. As in every episode, the emergency department was run entirely by surgeons. Patients were handed off between residents with little communication as they ran from one case to the next and additional casualties were wheeled in. Ultimately, one crucial mistake during the assessment of patient C. Becker led to her demise. Mrs. Becker was a 30-year-old female …

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Queen’s Gambit Case Report: Pediatric Benzodiazepine Overdose

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Patient Presentation Beth Harmon is a 9-year-old female who presented to the ED from the Methuen Home, an orphanage, after a witnessed ingestion of “green pills” or Xanzolam. As reported by Headmistress Helen Deardorff, she swallowed at least a handful of the drug after stealing it from the orphanage’s pill jar. She then lost consciousness and fell off the chair she was standing on, dropping and shattering the pill jar. We are unable …

Case Report: Parkour aftermath – Andy’s fall from height in The Office

In Case Series, Featured by Steve Lin1 Comment

History A 36-year-old male with no medical conditions was brought to the ED by ambulance after a one-story fall in a workplace parkour incident at the Dunder-Mifflin Paper Company. While it’s debatable if the awkward leapfrogging preceding the incident could be considered parkour, Jim explains that the goal of parkour is “to get from point A to point B as creatively as possible, so technically they are doing parkour as long as point …

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Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones

In Case Series, Featured, Medical Concepts by Steve LinLeave a Comment

Patient Presentation On a cold winter’s day in Winterfell, a middle-aged man by the name of Lord Baelish was stood in front of the Northern and Vale lords to answer for his crimes. His cunning and deceitful nature nature has finally led to his demise. After taking back the North from Lord Ramsay Bolton, Lady Sansa Stark was prepared to punish Lord Baelish for years of lies, betrayals, and murders. Lady Arya of …

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Priapism Case Report: Robert De Niro’s Hard Situation in “Little Fockers”.

In Case Series, Medical Concepts by Steve LinLeave a Comment

CASE PRESENTATION: Jack Byrnes, a 62-year-old Caucasian male, presented to the ER with a persistent, painful, 8-hour erection following the off-label use of Sustengo, a novel PDE5 inhibitor. Jack reports that he found a box of Sustengo samples among his son-in-law’s belongings and decided to try one. When his son-in-law discovered what had happened, he urged Jack to go to the ER. Jack refused and insisted that his son-in-law, a nurse, manage the …