Rhythm Nation: November 2017

Rhythm Nation returns with another ECG from University Hospital of Brooklyn at SUNY Downstate Medical Center.   Case: 52-year-old man with past history of of Hypertension, Diabetes mellitus, and Hyperlipidemia who presented with chest pain.   HPI: The patient’s chest…

Meralgia Paresthetica

What is Meralgia Paresthetica? Meralgia Paresthetica, or lateral femoral cutaneous nerve entrapment, is a clinical syndrome consisting of pain and/or dysesthesia in the anterolateral thigh due to compression of the lateral femoral cutaneous nerve.   Who is at risk? Risk…

Ibuprofen for Acute Mountain Sickness?

The Background At elevation, the body needs to adapt to the decreased partial pressure of oxygen. In the short term adaptations include tachycardia, hypertension and hyperventilation. These physiologic alterations are usually enough to prevent serious physiological distress. However, if ascent…

Peri-intubation Arrest

This EM-Critical Care Medicine case presentation focused on a very complex resuscitation with multiple facets. The case is notable because it includes most, if not all, of the factors we should consider when worrying about a peri-intubation arrest. Let’s recap…

Cracking Skulls

    Scenario: You are evaluating a 58-year-old male with hypertension and cirrhosis who presents with a sharp, right-sided, severe, non-radiating, constant headache that started suddenly two hours ago while he was walking to get something to eat. Shortly after…

Withering Heights: A Tale of Digitalis

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…