Hey Thanks to Dr. Grock for today’s Morning Report! Case 1: 75 year old female with pmhx DVT no longer on Coumadin, recent radical mastectomy currently on chemo/rad for breast cancer presents after long flight with pleuritic chest pain and shortness of breath. She is tachycardic, tachypnic, and hypoxic. Read more…
Dr. Aluisio presents today’s Morning Report!
Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one resident for recognition and embarrassment on this blog. This month’s edition goes to . . Read more…
A 2 week old presents with multiple episodes of green vomiting today with inability to tolerate PO. Pt has had no fevers and normal birth history. On exam, baby has a distended belly with moderate generalized tenderness. By Dr. Andrew Grock and Dr. Sally Bogoch Read more…
That moment when an idea strikes you. Something stutters the laminar flow of the mind. A mental murmur, perhaps. It’s that hiccup that alerts you that something’s up, something needs to be reassessed. This happened to me at Janus General, where Grock works. Neurology clinic referred a patient to Read more…
Thanks for the variety of responses. The winner of course is ablumenberg thanks to his thorough differential diagnosis. The Case In short, we have a 54 yo male with ptosis x 2 weeks and no other symptoms or complaints. By Andrew Read more…
Over at Janus General, where I’m on staff, there is a … 60 yo M with SOB: What is this rhythm and how do you treat it? Best and most complete answer by 9/19/14 at noon will win!
Still getting flack when you call for Ketamine in the resuscitation bay? Unsure if your colleagues from another mother are correct to chastise you? A recent systematic review evaluated the literature in relation to ICP as well as the outcomes that matter, disability and death. Give it a read here, so Read more…
Clinical Monster @kingsofcounty · Dr. Andrea Ferrari lecturing about sick kids. #clinicalmonster #emconf Clinical Monster @kingsofcounty · What to do with an ALTE baby?…….always admit for observation. http://www.ncbi.nlm.nih.gov/pubmed/22855928 #clinicalmonster #emconf Clinical Monster @kingsofcounty · Intussusception re-occurs 7-12% post reduction. Perhaps best to observe? How long? http://pediatrics.aappublications.org/content/134/1/110.abstract … #clinicalmonster #emconf Clinical Monster @kingsofcounty · In DKA, beta-hydroxybutyrate is the ketone Read more…
Made up Case: 70 yo ESRD (LUE fistua, MWF, last yesterday), HTN, DM, severe COPD presents peds struck by semi: Airway, Breathing, Circulation initially intact, IV/O2/Monitor placed 102, 150/60, 28, 93% on RA Secondary survey neg except for pan-right sided pain. CXR/pelvis X-Ray unremarkable. Pan-Scan (come on, 70 and hit Read more…