
Also known as: Adverse drug reaction
Elderly nursing home resident develops neuroleptic malignant syndrome after receiving Haloperidol during a heat wave. Presents with fever, altered mental status, and muscle rigidity. Treated with dantrolene.
Also known as: Heat illness
Multiple elderly nursing home residents arrive at the ER during a heat wave after their air conditioning fails, suffering from hyperthermia and dehydration. Treated with evaporative cooling.
Also known as: Inflamed appendix
Patient presents with abdominal pain. CT shows mildly inflamed appendix. Zelinsky questions the diagnosis suggesting epiploic appendagitis, but Dubenko confirms appendicitis requiring laparoscopic surgery.
Also known as: Abnormal heart vessel
Three-month-old infant presenting with chronic fussiness and sweating during feeds. Initially misdiagnosed as colic, but Abby orders additional studies revealing cardiomegaly and pulmonary edema. Cath lab reveals anomalous left main coronary artery diverting blood to GI tract, causing cardiac ischemia. Requires surgical repair.
Also known as: Heart attack
Three-month-old infant having acute myocardial infarction secondary to anomalous coronary artery. EKG shows classic MI pattern. Presents with diaphoresis, tachypnea, and signs of heart failure with pulmonary edema.
Also known as: Fainting
Sixty-five-year-old man presents with syncopal episode after skipping breakfast and lunch. Grady presents the case as straightforward dehydration. Used as teaching case by Moretti.
Also known as: Head laceration
Patient brought in by paramedics with possible blunt head trauma after auto versus pedestrian incident. Patient combative and refuses treatment, insisting he walked into the car and doesn't need care. Signs out AMA.