Tamingthesru
Annals of B-Pod: Shortness of Breath
A Case of Postpartum Preeclampsia
The patient is a multiparous female in her 20s, post-operative day 8 from an uncomplicated repeat low transverse cesarean section at 39 weeks gestation after an uncomplicated pregnancy, who presents with SOB. She was discharged home on post-operative day 2 with a healthy female infant. She returns today with complaints of shortness of breath for 3 days and swelling in her bilateral lower extremities for 6 days. Over the same time course she endorses orthopnea, paroxysmal nocturnal dyspnea, weight gain, and chest pain. She describes the chest pain as substernal and intermittent. She also feels as if her chest is making a crackling noise when she exhales. She denies fevers, cough, nausea, vomiting, headache, or abdominal pain. She reports that her incision is healing well. She denies pain or drainage from the incision. She is breast-feeding her daughter, who is doing well at home. She has not yet seen her Obstetrician in follow-up but did receive all appropriate prenatal care.
Annals of B-Pod: Quick Hit Case
Fibular Head Dislocation: An Uncommon Cause of Knee Pain
The patient is a male in his 20s who was playing soccer and felt a pop in his left knee followed by pain in his left knee. He has not been able to ambulate since the injury. He has an obvious deformity to the lateral aspect of his left knee. His x-ray was read as normal. Given his pain and mechanism, there was concern for fibular head dislocation so a CT of the knee was ordered. This showed an anterior, inferior subluxation of the fibular head.
Annals of B Pod - Summer Issue is Here!
In July, the entire emergency department is full of firsts; firsts shift in a new pod, first solo flights, first successful codes, and first shifts supervising new providers. This is an exciting time -- full of new faces and new roles. July can also be scary. All of those new roles come with uncertainty, fear of the unfamiliar, and immense responsibility.
This issue features cases and #lessonslearned from graduates whose “firsts” were not so long ago. These are showcased to serve as a reminder to us all that although this month is full of firsts for the residents, our faculty, nurses, and department have seen many Julys pass and are ready and eager to teach us their own #lessonslearned. Check out the new issue to see!