You are the junior resident on your ultrasound rotation, and you are scanning the board for pregnant females to examine. You finally find a 20-year-old female with a chief complaint of vaginal bleeding and vomiting. Her vitals are notable for…
Digitalis, a cardiac glycoside, is an age-old drug used since the time of the Romans. It wasn’t until the 18th century when the study of digitalis propelled humankind into the age of modern medicinal therapeutics. The cardiac glycosides are isolated from…
Not a lot of takers on this tough ECG. Here’s some insight. Initial ECG: Sinus tachycardia, LAD, 1st degree AVB, RBBB Repeat ECG: NSR, LAD, 1st degree AVB, RBBB, TWI in V4-V6 A Closer Look At The Case Our patient…
You are about halfway through your Peds shift, when a little girl is brought in by her mother for worsening rash and swelling. You immediately notice the child is in no respiratory distress and is awake and alert. She is…
A patient presents with anterior uveitis. You have so many questions. What is the uvea? The uvea is the term for the iris, ciliary body and choroid. The anterior uvea consists of the iris and ciliary body, while the…
We had three wonderful answers to last month’s COTM, but Dr. Segarra’s comprehensive response takes the cake. For a complete review of the case, please click here. Just to recap: 50-year-old woman with DM2, HTN, GERD, recently completed…
It’s Friday night, and you get a second in between patients. You are dreaming of sipping a Mai Tai by the beach, when your dream is quickly brought to an end. A 35-year-old young man walks into the ED, complaining…
A fit, young female dressed in cycling gear presents to your emergency department with a chief complaint of shoulder pain. Just prior to arrival, she was participating in a bike race in Prospect Park. As she was sprinting to the…
Case: You are working a busy peds shift and are nearing the end of your shift when EMS brings in this adorable 12-month-old girl with her mother. Mom says her child’s only medical history is eczema, and an hour prior…
Faithful Bloggers! Rhythm Nation is back from its brief hiatus for another installment of critical analysis of the ECGs seen at King’s County. 76M, past history of HTN, dyslipidemia, Stage III CKD, presents with headache and AMS. Concerned family members…
You decide to spend your elective month in Bora Bora hoping you’ll pick up a clinical pearl or two on trauma and envenomation from marine fauna. One morning on your day off from the hospital, you decide to get up…
It’s a quiet night in the critical care area of the ED, and you are engaging in stimulating and academic discussion with your attending and junior resident about the merits of cinema in the 1980s. Just as you broach the…
I’d like to thank our 4th year resident, Dr. Michael Griesinger, for essentially giving me this entire lecture in real time as he diagnosed and treated an inferior STEMI with right ventricular (RV) infarction yesterday. He nailed every aspect of it. Everything I researched today was just confirmation.…
After a two-month hiatus, Case of the Month returns! Get your thinking caps on for July’s Edition… The patient is a 50-year-old woman with a previous history of type II diabetes, and recently completed a 6-month course of…
This month’s excellent save goes to… Dr. Steven Greenstein! Dr. Greenstein was working during a particularly busy shift in the Critical Care / Trauma area when EMS brought in a patient with a history of prostate cancer and a chief…
It’s about 12am on a Tuesday, and you’re almost done cleaning up that post-dinner rush in the pediatric ED. You scuttle that last fever with a rash out the door, stickers in hand, when another one pops up on your…
A 28-year-old obese woman comes into your ED complaining of 4 days of throbbing, global intermittent headache. It is more severe than previous headaches she has had. The headache is associated with retrobulbar pain and transient loss of vision lasting seconds.…
The Case 50-year-old woman is brought in by EMS after intentional ingestion of her 500 mg extended release valproate in a suicide attempt approximately 40 minutes prior to arrival. She had recently filled her valproate prescription with 80 tablets and…
In the spirit of “Making America Great Again,” I did what every great American citizen would do over the July 4th weekend – BBQ meats. As I was working the grill, I started daydreaming about those 8-hour shifts, but unfortunately…
You’re working a busy shift in the peds ED among a seemingly endless cycle of various permutations of fevers, cough, abdominal pain, vomiting, diarrhea, when another kid pops up on the board: “vomiting, abdominal pain”. Fantastic. You go over to…
