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A 68 year old male presents with urinary retention and shortness of breath. He states that he has a prostate problem and that “his penis hole is in the wrong place”, but is not on an alpha blocker and has never been offered surgery. Instead he uses a catheter.  He next takes out an old ziplock […]

A 50-year old man presents to the ED with nausea, vomiting and generalized weakness. He has no known past medical history, but has not seen a doctor in “years”. He denies chest pain, abdominal pain, change in bowel movements, headache and fever. He has no other complaints.
On exam his vital signs are […]

A 33-year-old G1P1 Caucasian female presents with intermittent episodes of weakness, abdominal discomfort and nausea lasting days at a time over the past 3 months. Except for treated hypothyroidism she has no other medical problems.
On exam she is alert, thin, well-tanned, in no acute distress and non-toxic. Vitals are normal except for a BP of 84/56. […]

A 32-year-old male presents to the ED with a wrist injury after falling from his skateboard. He has no other injuries or complaints. His x-ray is shown below. How may injuries can you find?

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After witnessing you having a bad interaction with a difficult consultant, your boss walks over to you and says, “That looked rough.  You know, Shakespear wrote ‘Give every man thy ear, but few thy voice.’  That’s my mantra when dealing with consultants like that guy.”  You ponder this sage advice, but only for a moment before you hear an […]