Occam's Razor be damned

yesterday, 2 cases, the first severe respiratory distress and chest pain. Turns out to be
pneumonia with adjacent effusion, and b/l PE's, and a large lung nodule suspicious for Ca, despite a story sounding like COPD and lungs too tight to move any air and an CXR looking more like CHF. The second, suicide attempt, by alcohol and xanies and oxy's (the latter 2 stolen), with aspiration pneumonitis, and tylenol level >100 (despite the PD and paramedics finding no tylenol containing bottles), and then the urine hcg popped up positive, lol. At least I felt like an EP instead of an urgent care doc, :)

Source: Student Doctor Network Forums - February 9, 2013 Category: Universities & Medical Training Authors: Rendar5 Tags: Emergency Medicine Source Type: forums