Medical Specialty: Emergency Room Reports

Close monitoring/treatment of a seriously ill patient (including post surgical care) that enables immediate treatment in a controlled environment such as an intensive care unit.

Emergency Room Reports
Abdominal Pain - Consult
The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent.
Abrasions & Lacerations - ER Visit
A 12-year-old fell off his bicycle, not wearing a helmet, a few hours ago. There was loss of consciousness. The patient complains of neck pain.
Accidental Celesta Ingestion - ER Visit
Patient is a three years old male who about 45 minutes prior admission to the emergency room ingested about two to three tablets of Celesta 40 mg per tablets.
Acute Inferior Myocardial Infarction
Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction.
Agitation - ER Visit
Acute episode of agitation. She was complaining that she felt she might have been poisoned at her care facility.
Air Under Diaphragm - Consult
Possible free air under the diaphragm. On a chest x-ray for what appeared to be shortness of breath she was found to have what was thought to be free air under the right diaphragm. No intra-abdominal pathology.
Airway Compromise & Foreign Body - ER Visit
The patient is a 17-year-old female, who presents to the emergency room with foreign body and airway compromise and was taken to the operating room. She was intubated and fishbone.
Altered Mental Status - ER Visit
A 6-year-old was laying down on one side, and he was crying and moaning, sent from the Emergency Room with the diagnosis of intracranial bleeding.
Angina - Consult
Patient had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin.
Ankle pain
Acute foot or ankle sprain, possible small fracture.
Ant Bait Exposure - ER Visit
Possible exposure to ant bait. She is not exhibiting any symptoms and parents were explained that if she develops any vomiting, she should be brought back for reevaluation.
Asthma in a 5-year-old
Mother states he has been wheezing and coughing.
Blood In Toilet
Blood in toilet. Questionable gastrointestinal bleeding at this time, stable without any obvious signs otherwise of significant bleed.
Blood in Urine - ER Visit
Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria.
Blood per Rectum
Status post colonoscopy. After discharge, experienced bloody bowel movements and returned to the emergency department for evaluation.
Bronchiolitis - 2-month-old
2-month-old female - increased work of breathing.
Chest Tube Insertion in ER
Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma.
Closed Head Injury
Status post a high-speed motor vehicle accident in which patient was ejected from the vehicle.
Colostomy Failure
Patient in ER due to colostomy failure - bowel obstruction.
Consult - ICU Management
Consultation for ICU management for a patient with possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia.
Consult/ER Report - OB/GYN
A female with unknown gestational age who presents to the ED after a suicide attempt.
Cut on Foot - ER Visit
Patient had a piece of glass fall on to his right foot. A 4-mm laceration. Acute foot pain, now resolved. The patient was given discharge instructions on wound care.
CVA Consult - ER Visit
Cerebrovascular accident (CVA). The patient presents to the emergency room after awakening at 2:30 a.m. this morning with trouble swallowing, trouble breathing, and left-sided numbness and weakness.
Dental Pain
This is a 27-year-old female who presents with a couple of days history of some dental pain. She has had increasing swelling and pain to the left lower mandible area today.
Dental Pain - Emergency Visit
Significant pain in left lower jaw.
Difficulty Breathing - ER Visit
The patient is 14 months old, comes in with a chief complaint of difficulty breathing.
Ecstasy Ingestion - ER Visit
Patient went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecstasy tablets.
ER Report - Chest Pain
Patient complains of chest pain - possible esophageal reflux
ER Report - Chest Pain & Fever
A 48-year-old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin.
ER Report - COPD
Patient in ER complaining of shortness of breath (COPD)
ER Report - Rib Cage Pain
This is a 25-year-old male with nonspecific right-sided chest/abdominal pain from an unknown etiology.
ER Report - Stomach Pain
Patient presents to the emergency room with complaints of mid-epigastric and right upper quadrant abdominal pain for the last 14 days.
ER Report - URI
Patient in ER with upper respiratory infection
Fall - ER Visit
The patient is an 88-year-old white female, household ambulator with a walker, who presents to the emergency department this morning after incidental fall at home.
Fall & Laceration
Patient running to catch a taxi and stumbled, fell and struck his face on the sidewalk.
Feeling Dizzy - ER Visit
A 66-year-old patient who came to the emergency room because she was feeling dizzy and was found to be tachycardic and hypertensive.
Fiberoptic Bronchoscopy with Lavage
Emergent fiberoptic bronchoscopy with lavage. Status post multiple trauma/motor vehicle accident. Acute respiratory failure. Acute respiratory distress/ventilator asynchrony. Hypoxemia. Complete atelectasis of left lung. Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system.
Foot Pain
Patient dropped a weight on the dorsal aspects of his feet.
Foreign Body - Right Nose
Questionable foreign body, right nose. Belly and back pain. Mild constipation.
Gardnerella Bacterial Vaginosis
Vaginal discharge with a foul odor.
Gastrointestinal Bleed - ER Visit
Gastrointestinal Bleed. An 81-year-old presented to the emergency room after having multiple black tarry stools and a weak spell. She woke yesterday morning had a very dark and smelly bowel movement.
Head Injury
Head injury, anxiety, and hypertensive emergency.
Headache - Emergency Visit
Muscle tension cephalgia. Right trapezius and rhomboid muscle spasm.
Headache - Urgent Care Visit
Migraine headache - The patient was seen in the urgent care.
Hematuria - ER Visit
Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.
Hepatic Encephalopathy
A male with known alcohol cirrhosis who presented to the emergency room after an accidental fall in the bathroom.
High PT-INR - ER Visit
Very high PT-INR. she came in with pneumonia and CHF. She was noticed to be in atrial fibrillation, which is a chronic problem for her.
Hip Fracture - ER Consult
Left hip fracture. The patient is a 53-year-old female with probable pathological fracture of the left proximal femur.
Hydrocarbon Aspiration - ER Visit
The patient ingested tiki oil (kerosene, liquid paraffin, citronella oil) approximately two days prior to admission. He subsequently developed progressive symptoms of dyspnea, pleuritic chest pain, hemoptysis with nausea and vomiting.
Hyperbilirubinemia - 4-day-old
4-day-old with hyperbilirubinemia and heart murmur.
Hypertension - Consult
An 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation.
Intracranial aneurysm - ER Visit
Headache, improved. Intracranial aneurysm.
Itchy Rash - ER Visit
This 34-year-old gentleman awoke this morning noting some itchiness to his back and then within very a short period of time realized that he had an itchy rash all over his torso and arms.
Jaw Pain - ER Visit
Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.
Leaking Nephrostomy Tube
Urine leaked around the ostomy site for his right sided nephrostomy tube. The patient had bilateral nephrostomy tubes placed one month ago secondary to his prostate cancer metastasizing and causing bilateral ureteral obstructions that were severe enough to cause acute renal failure.
Left Lower Quadrant Pain - ER Visit
The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. She states that she has not voided in the last 24 hours as well due to pain.
Mastoiditis - Discharge Summary
Suspected mastoiditis ruled out, right acute otitis media, and severe ear pain resolving. The patient is an 11-year-old male who was admitted from the ER after a CT scan suggested that the child had mastoiditis.
Melena - ICU Followup
Reason for ICU followup today is acute anemia secondary to upper GI bleeding with melena with dropping hemoglobin from 11 to 8, status post transfusion of 2 units PRBCs with EGD performed earlier today by Dr. X of Gastroenterology confirming diagnosis of ulcerative esophagitis, also for continuing chronic obstructive pulmonary disease exacerbation with productive cough, infection and shortness of breath.
Motor Vehicle Accident
Multiple contusions and abdominal pain, status post motor vehicle collision.
MRSA Infection - ER Visit
Methicillin-resistant Staphylococcus aureus (MRSA) infection. A 14-day-old was seen by private doctor because of blister.
Nausea - ER Visit
Nausea and feeling faint. She complains of some nausea. She feels weak. The patient is advised to put salt on her food for the next week.
Nausea & Vomiting - ER Visit
She is a 28-year-old G1 at approximately 8 plus weeks presented after intractable nausea and vomiting with blood-tinged vomit starting approximately worse over the past couple of days. This is patient's fourth trip to the emergency room and second trip for admission.
Not Feeling Well - ER Visit
A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern.
Pain from Hernia - ER Consult
This is a 53-year-old man, who presented to emergency room with multiple complaints including pain from his hernia, some question of blood in his stool, nausea, and vomiting, and also left lower extremity pain.
Penile Injury
Penile injury and continuous bleeding from a penile laceration.
Penile Mass - Emergency Visit
Patient presents to the Emergency Department with complaint of a bleeding bump on his penis.
Proctitis & Proctocolitis
Patient presents to the emergency department (ED) with rectal bleeding and pain on defecation.
Shone complex
Complete heart block with pacemaker malfunction and a history of Shone complex.
Sickle Cell Anemia - ER Visit
A 19-year-old known male with sickle cell anemia comes to the emergency room on his own with 3-day history of back pain.
Syncope - ER Visit
Patient with a history of coronary artery disease, status post coronary artery bypass grafting presented to the emergency room following a syncopal episode.
Syncope - ER Visit - 1
The patient had a syncopal episode last night. She did not have any residual deficit. She had a headache at that time. She denies chest pains or palpitations.
Testicular Pain
The patient has a possibly torsion detorsion versus other acute testicular problem.
Toothache - ER Visit
Patient has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled, now complains of new tooth pain to both upper and lower teeth on the left side for approximately three days..
Urgent Cardiac Cath
Urgent cardiac catheterization with coronary angiogram.
Viral Syndrome - ER Visit
This 68-year-old man presents to the emergency department for three days of cough, claims that he has brought up some green and grayish sputum. He says he does not feel short of breath. He denies any fever or chills.