Morning Report
Common Mammalian Bites in the Emergency Department
Congratulations to Dr. Aluisio for today’s Morning Report!
EM Principles
Pirate Baby’s Never Bored Review
It’s a busy weekday shift in the Peds ED on Jolly Roger Island. A captain brings in his 11 day old newborn scallywag, concerned about her left eye being ‘swollen, crusty, and oozing pus.’ He notes that she cries anytime he tries to touch it. Her vital signs are On exam Read more…
EM Principles Otolaryngology/Dental
Deep Space Neck Infections in the ED
Deep Space Neck Infections! Anatomy Image from: http://www.uptodate.com/contents/image?imageKey=PEDS%2F74998&topicKey=ID%2F3415&rank=1~17&source=see_link&search=deep+neck+infection&utdPopup=true Types Peritonsillar space (abcess) Parotid space Submandibular space (Ludwig’s angina) Pretracheal space Prevertebral space Parapharyngeal space Retropharyngeal & danger space History & Physical Exam Findings – Dysphagia Read more…
Ultrasound and Radiology
Xray Vision: Chest Pain Answer
Check out the original post here: Xray Vision: Chest Pain Congratulations Dr. Grundmann! This patient has a primary spontaneous pneumothorax. References: Humphries RL, Young W, Jr.. Chapter 71. Spontaneous and Iatrogenic Pneumothorax. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; Read more…
Morning Report
Morning Report: Spider Bites
Dr. Kopping presents today’s Morning Report! Spiders…who needs that many legs, am I right? Several medically important specimens throughout the world I live in North America, which should I care about most? Black Widow Brown Recluse Hobo spider Black Widow (Latrodectus mactans) Likes temperate/tropical climates Found in stone Read more…
EM Principles
Depressed? No, Bored – Review.
A 32 year old local hipster who thinks he’s so “cool” that even his depression is atypical rolls in to the ED on his hand built, 1950’s soviet scooter complaining of a severe, acute onset occipital headache. He tells you that his Canadian psychiatrist put him on a new (yet retro) Read more…
Rhythm Nation - ECG
Rhythm Nation June 2015 – Answer!
Congratulations Dr. Grundmann! The ECG shows T-wave inversions with prominent U-waves in leads V3-V6, and less prominent in leads II, II, aVF. The QT interval is also prolonged. All signs pointing towards hypokalemia. This patient’s potassium level of 2.3 mEq/L. With the patient’s history of weakness following exertion and his Read more…
Cardiovascular
Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy
By Baruch Berzon MD and Richard Sinert MD Case Presentation A 32 year-old male presents in August to EMS with complaints of “flutter in my chest” and light-headedness for an hour. The paramedics find a young man in mild distress who is Diaphoretic with a heart rate of 220 and Read more…
EM Principles
Dazed & Confused & Bored Review
It’s a typical busy Saturday night in the main ER, with your alcoholics and K2-smokers causing a ruckus, when you pick up a 32yo woman brought in by her friend for ‘acting strange.’ You think maybe she joined the K2-bandwagon of Brooklyn, but her friend adamantly denies any drug use, Read more…