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Case #14 01/29/08 Don’t take her breath away.

A 21 y/o female with a history of asthma presents in acute bronchospasm.  She has a history of previous asthma attacks requiring admission, but no ICU admissions and no Intubations. Her last ED visit...

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Case #24 Collapse at Discharge

A 24 y/o asthmatic patient presents for acute bronchosmasm.  She has been getting short of breath for the past two days, and has been using her inhaler 4-6 times a day. She is not on inhaled steroids....

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Case #34 “Time is Money!” by Charlene Babcock Irvin, MD

A 77 y/o female presents with chief complaint of weakness.  She has had no appetite for 2 days, and also notes some shortness of breath.  She also has a cough with yellow/brown sputum, and some nausea...

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Case #83 “Wrong Chief Complaint” by Charlene Babock Irvin, MD, FACEP

EMS arrives with a 55 y/o female with a chief complaint of vomiting blood.  According to them she just vomited about 1 cup in the ambulance. As you approach the patient, you note she is having...

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Case #106 “FAST Plus” by Charlene Babock Irvin, MD, FACEP

A 17 y/o male presents to a small Emergency Department with a persistent cough.  He also notes shortness of breath.  His mom made him come because she has noted the cough started yesterday, which...

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Case #107 “The Nagging Cough” by Charlene Babock Irvin, MD, FACEP

A 68 y/o spry grandmother presents with a ‘nagging cough’.  She states she has had the cough for 3 weeks.  She saw her primary doctor who prescribed antibiotics, but it made no difference.  She has...

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Case #126 “She Looks Much Better!″ by Charlene Babcock Irvin, MD, FACEP

During sign out rounds, the resident reports on the next patient as you pass her room.  “75 y/o COPD patient, admitted, waiting for a bed, CXR negative for infiltrate. When her husband brought her in,...

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