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…
Bored Review – Anterior Uveitis
Case of the Month – July 2017 – Answer
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…
Bored Review – “Lai Tai” after a Mai Tai
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…
Bored Review – Clavicle Fracture
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…
Choking!? Oh No!
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…
Rhythm Nation: July 2017
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…
Bored Review – Is that really a Jellyfish?!
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…
Cardiac Arrest? Hold off on that ET tube
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…
Bored Review – Just Another RV Infarction
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.…
Case of the Month – July 2017
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…
Save of the Month!
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…
Bored Review – The Tale of the Telescoping Bowel
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…
Ocular Ultrasound in Idiopathic Intracranial Hypertension
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.…
EM-Critical Care: Valproic Acid Toxicity (Part 1)
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…
So Bored, I Broke a Hot Dog – Penis Fracture
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…
Candy or Medication?
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…
Not So Bored When You’re the Obstetrician for the Night
You decide to take a break from the city and moonlight in a small rural hospital. You think you’ll be chilling for the night seeing urinary tract infections, or maybe you’ll finally see that snake bite you never thought you’d…
Trauma Drama – ED REBOA
It’s 2 AM and you’re about to walk out to get some coffee when the notification phone rings. The prehospital dispatcher informs you, “24-year-old male with two gunshot wounds to the abdomen, BP 70/P, HR 128, R 30, ETA 5…
Bored Review – Pace/Off (Pacemaker Basics with Nic Cage)
What if you woke up in a hospital and found out your mortal enemy had surgically removed your face and glued it onto his own and now he was out in the world pretending to be you? Living your life, hanging with all…
So Bored, I Popped and Locked…and It Hurt – Shoulder Dislocation
It’s Monday morning in the ED, and to your greatest surprise, it’s been quiet for a few hours. You are a bit too superstitious to say anything out loud, but you are pretty excited. In fact you are so excited,…
EM-Critical Care: Thyroid Storm
Case: A 48-year-old man with no PMH presents via EMS with dyspnea and diarrhea worsening over 2-3 weeks. He has attempted to self-treat the diarrhea with loperamide. He also reports generalized weakness, swelling in both his legs, and palpitations. …