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…
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…
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…
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…
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,…
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. …
A 54-year-old woman with history of gastric band surgery and 10 years of uncontrolled hypertension has had 4 weeks of progressively increasing abdominal girth, exertional dyspnea, and dependent edema. Today, the patient has dyspnea at rest with epigastric pain. Her…
Over the Memorial Day weekend, I was so bored I binge watched the Rocky anthology. My favorite movie of the anthology is Rocky IV, not just because of the way he boxed, but mostly because he may have single-handedly ended…
By Surriya Ahmad and Kylie Birnbaum It’s a busy night in the Springfield ED. You’ve just treated Lisa for a pneumothorax after she played her sax too hard, and you’ve treated her brother Bart for a laceration from skating…
Dr. McCallister, an ED physician, thinks back to his childhood. Remember when I almost killed those two burglars when I got lost in New York? I should reach out to them. And why did I keep getting left places? Were my…
A 2-year-old boy is brought to the ED by his mother for persistent fevers. The mother says her child has been having high fevers of 102-103 for the past 4-5 days. He was seen at another hospital earlier in the course…
You’re sitting in the peds ED, and just about done with the 10th URI you’ve seen all day. You’ve got the sniffles from those cute coughing babies, and you’ve been getting through the day on just those “free” pedialyte icee’s…
