Category: Case Reports

Case Reports

Internal Hernia – Mini Case Report

Mini Case Report  HPI  68 yo F with PMHx of Polio, HTN and arrhythmias presents to the ED with abdominal pain and nausea X 1 week. Pain is in the periumbilical region,10/10 intensity, squeezing in nature, radiates to the epigastric region and is not responsive to OTC pain meds and omeprazole. She also endorsed chills, shortness of breath, diarrhea that started the day prior. She denies fever, chest pain, palpitations, vomiting, headache, LOC, constipation. Pt still has her appendix, PSHx of Gastric bypass 12 years prior.  PE  Moderate epigas

by Jessica Smeaton, MD
Case Reports

Renal Papillary Necrosis Case Report

Case Report (Sickle Cell Disease and Rhabdomyolysis vs. Renal Papillary Necrosis)  31 yo M w/ hx of sickle cell disease (SCD) presents to the ED c/o gross hematuria x 12 days. Pt  reports hematuria began shortly after exercising and has remained constant with each episode  of urination. Pt denies experiencing any similar sx’s previously. No abdominal pain, dysuria,  back pain, fever, nausea, vomiting, fatigue, myalgias. Otherwise, pt states he feels perfectly  normal. Pt was sent to ED from clinic for further evaluation.  Vitals stable.

by Mallory Castillo, MD