Month: October 2014

Morning Report: 10/31/2014

Here’s Dr. Ammon with a great Halloween edition of Morning Report!   DELIRIUM TREMENS Most severe form of alcohol withdrawl manifested by AMS (global confusion) and sympathetic overdrive (autonomic hyperactivity).   CHRONIC ETOH -> CNS DEPESSANT -> ETOH-GABA -> inhibitory…

Morning Report: 10/30/2014

Thanks to Dr. Grock for presenting today’s Morning Report!   The Sign Out 45 yo M h/o AIDS (CD4=8, not on HAART) presents with voluminous non-bloody diarrhea x 3 days and near syncope/light-headedness today. No recent travel/antibiotics. He reports trying to…

Cardiac Tamponade

Cardiac Tamponade and Pericardiocentesis Summary by Dr. Kaycie Corburn Presented by Dr. Sally Bogoch The Case: 60 yo M PMH metastatic lung cancer, HTN, DM, former smoker presents to the ED with acute onset shortness of breath. Vitals in triage revealed…

Wednesday Wrap-Up 10/29/14

We had some great discussion on the various papers for our Case-Based Learning Series. Thanks to Dr.’s Isaksen, Silverberg, and Gernsheimer for their wisdom and time.  .  . . From Dr. Hannah LoCascio’s Lecture 1.  Brooklyn is a huge place…

Still Not Bored Review

Welcome to the procedure block’s first Bored Review You are working in CCT at 3am when the patient arrives. Young man with multiple GSW’s to chest. You address his ABCs – he is not breathing and has no pulse. EMS…

Rhythm Nation October 2014 ANSWER!

From the hand of Dr. Yonatan Yohannes… . This case puts the providers in a bit of a dilemma. The ECG is concerning for possible left main coronary artery (LMCA) or proximal left anterior descending (LAD) artery occlusion. However, the history…

XRay Vision: ANSWER

Here are the images again.   Official read of the CT head: left hemispheric subdural hematoma with significant subfalcine and likely uncal/downward transtentorial herniation.   Traumatic Brain Injury Impairment of brain function as a result of mechanical force. The clinical…

Morning Report: 10/24/2014

Thanks to Dr. Kincade for presenting today’s Morning Report!   Esophageal Varices Esophageal varices are dilated veins within the wall of the esophagus, usually at the distal end   Epidemiology -50% of patients with cirrhosis; 25% to 35% variceal rupture…

Morning Report: 10/23/2014

Here’s Dr. Alsup with today’s Morning Report!   Eye Infections   Orbital septum -Connective tissue extension of the orbital periosteum -Extends into the upper and lower eyelids   Periorbital / Preseptal Average age: 2 yo Result of local trauma, including…