New Oncologic Therapies Mean New Oncologic Emergencies: An Approach to Immunotherapy-Related Adverse Events

In Case Series, Medical Concepts by Arden AzimLeave a Comment

A 63-year-old man, Andrew, presents to the emergency department with a several-day history of worsening diarrhea. He has abdominal pain rated 6/10, has been having over 8 loose stools per day for 4 days, and tells you he has seen some blood and mucus in his stools. He denies any nausea, vomiting, fevers or chills, sick contacts or recent travel. However, he tells you that he is under-going active treatment for Stage IV …

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Case Report: Pregnancy and Trauma in the Game of Thrones

In Case Series, Medical Concepts by Will WuLeave a Comment

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 …

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The Long and Short of Needleless IV Extension Sets

In Case Series, Featured by Riley HartmannLeave a Comment

While working nights with an EMS crew, you arrive on scene to find a 24 year-old male who was thrown from his vehicle at highway speeds. You estimate that there was 1500 mLs of blood loss visible on the road, with active bleeding from his left femur and abdominal guarding. After applying a C-spine collar, a pressure dressing, and moving him into the back of the ambulance, you start an 18 gauge IV …

Case Series: Hindsight is always the sharpest – Penetrating trauma

In Case Series, Medical Concepts by James PowellLeave a Comment

The Case A 17-year-old female was transported to the Emergency Department (ED) by helicopter after a high speed, single vehicle motor vehicle collision. She was found unrestrained by paramedics, with an initial Glasgow Coma Scale of 14, but during extrication she became more agitated and confused. Subsequently she complained of dyspnea and became hypotensive. She was intubated prior to transport for her deteriorating mental status. The patient received 3 litres of crystalloid along …