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Case #161 “Return Visit for Vicoden Refill” by Charlene Babcock Irvin, MD, FACEP

A 37 y/o male presents for a prescription refill.  He was in the ED last week for vague leg pain, was given Vicoden for pain, and now returns for a refill of his pain medication as his leg is still...

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Case #162 “Don’t Let Her Get the Gun!” by Charlene Babcock Irvin, MD, FACEP

A nurse calls you about a 42 y/o female currently in the observation section of the emergency department.  She is a psychiatric patient who needs to be medically cleared before she can be transferred...

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Case #163 “Rat Bite Fever” by Patrick Butcher, MD and Charlene Babcock Irvin,...

I’ve gone back to school, so I’ve not been keeping up with these cases, and I apologize to everyone. I’m doing a basic science fellowship (working with rats) and simultaneously getting a Masters in...

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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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Case #165 “UDS” by Charlene Babcock, MD, FACEP

At the 7AM turnover, you are signed out a 22 y/o female who is ‘likely high on drugs’. EMS notes they were called for altered mental status, and on their arrival she was disoriented and crying out, and...

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Case #166 “Back Badness” by Charlene Babcock, MD, FACEP

A 45 y/o female presents with back pain for two weeks. She was helping her sister move, carrying boxes back and forth to a truck, when she suddenly developed severe back pain radiating down her left...

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Case #168 “Vacation Rash” by Emily Fortin and Charlene Irvin Babcock, MD, FACEP

A 23 y/o female medical student, on vacation in Florida presents with a painful red rash. The rash is located in several different patterns. There is a rectangular pattern on her left thigh, and also 2...

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Case #169 “I’m not stopping; I’ve just been shot!” by Charlene Irvin Babcock,...

Triage notifies you that a male is driving to the hospital after being shot.  The police called it in as they saw him speeding down side streets and running stop signs.  The cop pulled up next to the...

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Case #170 “Lightning Storm” by Dr. Belinda Kakos

36 yo AA male is brought in by EMS at 8 am stating that he has been awake, lying in bed since 3 am unable to move or feel his legs. Wary and pensive he states that he lives alone, is the youngest of...

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