Today’s Morning Report is presented by Dr. Aldokhi! My Butt Hurts (Procidentia) Case: 79 year old female with abdominal pain Definition Full-thickness intussusception of the rectum through the anus Epidemiology Bimodal age distribution (extreme of age) Causes Children <3 increased abdominal pressure (constipation, chronic diarrhea) – Read more…
Thanks to Dr. Corburn for presenting today’s Morning Report! Malignant MCA Syndrome Stats -Space occupying cerebral edema resulting after MCA stroke -Occurs in 10% of all strokes -About 13% of proximal MCA strokes experience severe cerebral edema Pathophysiology -Cytotoxic edema begins within hours of the stroke and Read more…
All is quiet in your imaginary ED when a commotion rings in from the hallway. In comes in a very gravid patient making lots of groans, moans, and curses. She reports she has no medical problems, is full term, and started having contractions earlier that day. On your exam, you Read more…
26 yo M pmh multiple episodes of syncope as child p/w anxiety symptoms for months. No meds or illicits. His father died at age 39. He has the following dysrhythmia: Questions: What is this rhythm? What is your ED care and dispo? Best answer by March 23 Read more…
A 2-year old previously healthy boy is brought to the emergency department for choking episode, throat pain & frequent coughing that started suddenly while playing with some toys. On examination, he looks comfortable in no respiratory distress, no drooling. Normal ear/nose/throat exams. Chest is clear with no wheezing. Just as Read more…
This month’s winner is the one and only ablumenberg, whose intimidatingly thorough answer frightened off all other contenders. Recap Older lady, many medical problems, here for epigastric discomfort now with acute decompensation as evidenced by her tachycardia and diaphoresis while in your imaginary ED. Read more…
A 69-year-old female with diabetes, HTN, high cholesterol, previous angina with stents placed 8 months ago presents for central, non-radiating chest pain with belching and shortness of breath. The pain began while watching the finale of the Bachelor this week. The patient endorses that she has not taken any of Read more…
The 3 following cases present to your ER. What should you do? -A 35 YOM no PMH with a TASER electrode in the eyelid and another to his chest wall, denies chest pain, normal VS -A 40 YOM PMH polysubstance abuse and schizophrenia who was tasered once to the Read more…
Kudos go to Dr. Bryan Jarrett for an excellent interpretation! Much discussion was had over this ECG. There is an AV dissociation where the P waves march out. There is a slightly wide QRS, but not that wide. There is a small variability in the morphology of the Read more…
A 58 year old woman with a long medical history – paroxysmal afib, not on anticoagulation, hyperthyroidism secondary to graves disease, and GERD who presents for the third ED visit in 1 month for epigastric pain. At her first visit, she improved after a GI cocktail, had a normal ECG/CXR/labs, and was Read more…