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A ‘Friends’ Case Report – Concussion

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Patient Presentation and History Joseph (Joey) F. Tribbiani is a 31-year-old man who presents with transient tinnitus following multiple hits to the head. Joey received 13 hits to the left and right temporal regions from his “friends” while wearing “protective equipment”. Collateral history from his friends, Chandler Bing and Ross Gellar, indicates that there was no loss of consciousness or subsequent disorientation. However, they were concerned for Joey’s cognitive well-being after losing 57 …

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Case Report: Johnny English’s Blunt Scrotal Trauma

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CASE PRESENTATION Johnny English, a 42-year-old previously healthy male, presents to the ER with a 3-hour history of pain and swelling localized to the scrotum. He is systemically well and denies lower urinary tract or gastrointestinal symptoms. Upon further questioning, Johnny tells a bizarre story about saving the world by chasing a traitorous MI7 agent through the Swiss Alps and then fighting him to the death. English explains that during their fight he …

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A “Friends” Case Report – Joey’s Urolithiasis

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Presentation Joey Tribbiani, a previously healthy 28-year-old male, presents to the ED with left-sided flank pain. In the past 12 hours, he has had four 20-minute episodes of sudden onset, severe left flank pain radiating to the groin. During these episodes he was unable to find a comfortable position. He felt nauseous and had one episode of emesis. He denies hematuria and any lower urinary tract, gastrointestinal, or respiratory symptoms. He reports no …

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Case Report: Penetrating Chest Trauma in the Game of Thrones

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This is the 4th episode of the Game of Thrones case series examining penetrating chest trauma. Be sure to review Hypothermia and Traumatic Arrest in Game of Thrones, Toxin-Induced Cardiac Arrest in Game of Thrones and Pregnancy and Trauma in Game of Thrones. This post contains spoilers from Game of Thrones Season 8! Patient Presentation and History A 23-year-old female was seen unresponsive with a single penetrating wound to the left anterior chest. …

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Case Report: Pregnancy and Trauma in the Game of Thrones

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This is the 3rd Episode of the Game of Thrones Case Series. Be sure to also review Hypothermia and Traumatic Arrest in the Game of Thrones and Toxin-Induced Cardiac Arrest in Game of Thrones. Patient Presentation and History During the wedding of Edmure and Roslin, a young pregnant woman of unknown gestational age was found unresponsive with multiple abdominal stab wounds on the floor of the great hall at The Twins. Lord Frey allegedly planned …

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Case Report: Toxin-Induced Cardiac Arrest in Game of Thrones

In Case Series, Medical Concepts by Will Wu1 Comment

King Joffrey I Baratheon was found in respiratory distress by his mother, Cersei Lannister, and Jaime Lannister during his wedding to Margaery Tyrell. As this was the wedding for the King of the Seven Kingdoms, numerous guests and bystanders were present. The patient was eating a traditional pigeon pie and drinking from a glass of wine poured by Tyrion Lannister immediately prior to developing symptoms of dry mouth, severe cough, and shortness of …