Current Case

Just what is Methotrexate, anyway…?

Just what is Methotrexate, anyway…?

22 yo female presents to the ER c/o 11 days of lower abdominal pain, crampy in nature, but unrelenting.  Pain is much worse when she moves, walks, bends over, or tries to walk up stairs.  Denies fever but has had occasional chills.  Able to keep down food, denies any dysuria.  She was seen in another […]

Edison’s contribution to medicine…

Edison’s contribution to medicine…

EMS calls in with a 14 yo female who fell off her skateboard, not helmeted, and after the fall she felt a “pounding” in her chest. Since the fall, she hasn’t felt right. In the field, EMS finds the patient to be very tachycardic, pale, cool and moist, but maintaining a BP of 110/70. Her […]

My Belly Hurts…

My Belly Hurts…

Ok, this case is pretty complex – let’s get to it. 68 yo female presents to your ED by EMS c/o severe LLQ and epigastric abdominal pain for 3 days. She was discharged from your facility 21 days ago s/p cholecystectomy with concomitant mild gallstone pancreatitis. While here, her enzymes normalized and at D/C all […]

When snowboarding goes wrong…

When snowboarding goes wrong…

26 yo male comes into the ER after falling while attempting a jump during a snowboarding competition.  When he fell, he heard and felt a “snap” in his R leg.  He cannot bear weight on the R leg.  He has no other significant history.  He was helmeted, denies LOC, and has no head, neck, or […]

New Education and Discussion site for EM PAs (and other providers)

New Education and Discussion site for EM PAs (and other providers)

The focus of this site is to serve as an educational and commentary tool for EM PAs, PA students, and anyone interested in discussing aspects of care for emergency medicine patients.  Patients presented with run the gambit of acuity.  Posts will occur every 2 weeks with 1-2 cases presented for discussion or comment.  The point […]