Last week at the Wilderness Medicine Club meeting, we had a great evening discussing fish hook removal over some delicious burgers at Dram Shop on 9th street, followed by some excellent group bonding around a mildly competitive and mostly entertaining game of bocce ball at Union Hall. The paper that Read more…
Here are the images again: that’s correct Dr. Bogoch! it is indeed a domino! The patient was brought in by staff members of the facility after questionable ingestion during a game of dominos. Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus Read more…
THE CASE: In a fictitious urban hospital a 28-year-old female, no pmhx, recently dx with “asthma”, presents with exertional shortness of breath for three months and an accompanying 40lb weight loss. Review of systems is negative for anxiety, wheezing, cough, chest pain, fevers, chills, night sweats, PE risk factors, recent Read more…
Excellent answer by Dr. Kylie Birnbaum! This patient indeed has a supraventricular tachycardia (SVT), and indeed was found to have fast-slow atrioventricular nodal re-entrant tachycardia (AVNRT) on later electrophysiologic study. In the ED at Janus General, however, vagal maneuvers failed and 6mg of Adenosine was ordered. Just prior to administration Read more…
During your snotty/barfy/whiny evening shift at a made-up-HIPPA-compliant hospital, an 11-month-old child is brought to the ED by his parents for excessive crying. The child spends his days at “Jerks-are-Us Daycare” while his parents are working for “the man.” The child is usually able to pull-to-stand but today he lays Read more…
Dr. Freedman is back with Part 2 of his Morning Report! Part 2: Quick Case: A 32 year-old gentleman, with no past medical history, presents with “I can’t move my legs.” Serum potassium = 1.4mmol/L. Diagnosis: Hypokalemic Periodic Paralysis Background: The periodic paralyses are a family of Read more…
35 year old male with MR presents from a monitored facility for possible ingestion of a foreign body. Per staff who are with the patient, the ingestion took place a few hours prior to arrival. Since the incident, the patient has complained of nausea. Denies vomiting, shortness of breath, drooling Read more…
Thanks to Dr. Freedman for today’s Morning Report! Part 1: ECG Findings of Hypokalemia First some definitions: Mild: K < 3.5 mmol/L Moderate: K < 3.0 Severe: K < 2.5 ECG Changes: Typically appear at ~2.7 Increased amplitude and duration of P wave PR prolongation T wave Read more…
Dr. Grock presents today’s Morning Report! The Case: 65 M h/o HTN, CHF w/ EF 25% with AICD presents s/p 3 shocks. Appears well. ECG: LBBB unchanged without any other scariness. What do you do? (IV/O2,Cards for device interrogation, Check lytes (ca, k, mag), (cbc?/Trop?)) Cards interrogates: three runs of Read more…
A made up patient walks into Dr. Sally Bogoch’s fictitious Hospital (the aptly named “Bogoch General”). 6 year old male is brought in by ambulance for limping for 7 weeks. ROS neg, VS wnl. PE: He has no bony tenderness or pain on range of motion to his knee, but does Read more…