aches/pains

taste my workday today:

• a 7-year old boy goes to the emergency department because he had a 9-minute breakthrough seizure; he has benign rolandic epilepsy.

• a 49-year-old woman undergoes 24-hour ph/impedance monitoring because she has acid reflux.

• a 70-year-old woman undergoes the same thing.

• a 32-year-old woman, 24 weeks 5 days into her pregnancy, had premature rupture of membranes; this is her 6th pregnancy and she has one child; delivery is imminent.

• a 7-year-old female has a new onset of diabetes.

• a 16-year-old female also has a new onset of diabetes.

• a 49-year-old male has hypercalcemia secondary to sarcoidosis.

• a 22-year-old woman is 21 weeks pregnant and has malodorous vaginal discharge; pyelonephritis versus pelvic inflammatory disease versus appendicitis; she is admitted to the hospital.

• a 17-year old male, in attempting to keep his girlfriend from going to work, jumps onto the trunk of her car; he falls, sustaining cuts and bruises; he is seen by a social worker and denies being suicidal.

• a 38-year-old woman is 2 days status post total abdominal hysterectomy, and doing well.

• a 25-year-old woman is 2 days status post repeat cesarean section, and doing well.

• a 12-year-old male has diabetic ketoacidosis and is admitted for glucose and insulin infusions.

• a 5-year-old girl has intractable vomiting and is admitted for rehydration and antiemetics.

• an 89-year-old man has intractable vomiting and is admitted for rehydration and antiemetics.

• a 48-year-old obese woman has hidradenitis suppurativa, with open wounds on her pannus, buttocks, buttock crease, rectal area, and legs; she is admitted for hydration, pain medication, antiemetics, and antibiotics.

• a 38-year-old woman has endomyometriosis, uterine enlargement, uterine fibroids, and menometrorrhagia, and is scheduled for a hysterectomy.

• a 28-year-old woman undergoes spontaneous vaginal delivery and has a baby girl.

• a 4-year-old boy has an atelectatic tympanic membrane and is scheduled for tympanostomy tube placement.
  

• a 5-year-old boy has dental caries and undergoes dental restoration under general anesthesia.

• a 59-year-old woman has stress urinary incontinence and undergoes placement of a pubovaginal sling.

• a 76-year-old man has an abdominal aortic anurysm and is scheduled for repair.

• a 60-year-old woman is dischaged from the hospital; she has lung cancer, nephrolithiasis, and an e coli urinary tract infection.

• a 55-year-old man was found down in a museum bathroom; he died; his wife is seen by a social worker.