Hydrogen Peroxide Ingestion

A 24-year-old male presented to the ED after an accidental ingestion of hydrogen peroxide. The patient worked at a lab and ingested about 250 mL of 35% hydrogen peroxide thinking it was water. Almost immediately after the ingestion, he had multiple episodes of...

Vitreous vs. Retinal Detachment

A 72-year-old female presented to the ED with complaints of decreased vision in her right eye. Her vision had worsened over the past 4 days and she reported that when it started, it was as if a curtain was pulled over her right eye. There was no associated pain or...

RLQ pain

A 27-year-old male with no significant PMH presented to the ED with complaints of RLQ abdominal pain that had been ongoing for 11 hours. He also reported nausea, vomiting, diarrhea, anorexia, and fever.   Initial VS: BP 109/58, HR 94, T 38.5 °C (101.3 °F), RR 12,...

TIPS evaluation

A 52-year-old female with a history of alcoholic cirrhosis presented to the ED with complaints of hematemesis. She reported one episode of possible blood-tinged emesis followed by an episode of emesis that was clear liquid without blood. She denied blood in her stool....

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