A 32 year old woman rolls into the ER on a quiet springtime afternoon – you are told that she had just had a tonic clonic seizure. She took a sabbatical after finishing her EM/IM residency and opened a moonshine distillery on Nostrand and Church. She typically “tastes” one pint of Read more…
This drug causes this rash… This drug caused an outbreak of agranulocytosis among healthy 20 year olds… The drug is widely available in countries with a large livestock industry (for use as antihelminthic)… Brief Discussion: This topic seemed interesting to investigate and Read more…
Good job, Dr. Oiyemhonlan. This is a Monteggia fracture! Monteggia Fractures Overview: Dislocation of the proximal radioulnar joint in association with a forearm fracture. Relatively uncommon. Less than 5% of all forearm fracture. Primarily associated with falls on outstretched hand with forced pronation. Radial head dislocation may lead Read more…
EMS brings in a trauma notification: 40 year old man was so absorbed reading his book (51 Shades of Grey’s Anatomy) while crossing the street that he didn’t see the truck that struck him. He is moaning in pain and lethargic as he is rolled in. VS: BP 86/64, HR 118, RR Read more…
It’s a slow Sunday afternoon in the mythical ED that all of our blog posters seem to work in and you see a 70 year old male with a history of HTN, HLD and renal stones. He is mildly hypertensive and reports sharp flank, occasional abdominal pain and hematuria. Read more…
45 year old female presents to the ED after falling on her arm. She was jumping out of the way of a “crazy driver” and fell onto her arm. She complains of severe arm pain. You see a visible deformity on your exam. Xrays show: What describe the fracture. What Read more…
A 52 year old man is brought in by EMS with complaints of altered mental status. Family says that he has been recently feeling palpitations and diaphoresis and collapsed in his chair today. On further questioning you gather that the patient has always been very skinny, anxious and sweaty. He recently went to his Read more…
This week we talked about concussions that happen out in the wilderness. Dr. McHugh discussed this paper: Concussions in the Wilderness He did a great job and has highlighted all the salient facts in this nicely worded discussion. You can read it here if you don’t have time to read Read more…
This month’s winner is ablumbenberg with a very thorough answer. This case was a doozy and involved an extremely rare Emergency Department diagnosis. To Recap: We have a 64 lady with a history of problems with her blood’s “globes” who presents with AMS, new onset CHF, and neurologic deficits. Read more…
67 yo F with permanent atrial fibrillation. Why is her rhythm regular? Best answer by May 18th at noon is our winner!