20 year old muscular 6’3″ man presents to the ED with chest pain and states that it feels like “bubble wrap popping” when he bends over and reports some difficulty breathing. No hx of trauma. You get a CXR and see:Vitals: BP 110/80, HR 105, RR 22, O2 sat 95% Read more…
On a sunny mid-afternoon day, a 31 year old male presents to the ED after falling down a flight of steps and complaining of LE weakness. Exam significant for LE strength 4/5 proximally and 5/5 distally. Pt had a carbohydrate loaded dinner the night before and ran a 5K the Read more…
Congrats to Sasi for winning this month’s CotM! Mona had the correct diagnosis in her differential but Sasi’s thorough explanation highlighted a lot of the important considerations we have to have when dealing with pediatric torticollis. In summary: 7 y/o boy with acquired torticollis x 2 weeks. Preceded by a Read more…
Bedside Teaching Bedside teaching is a concept and skill I feel is spoken about a lot these days but is not as prominent in medical education as it once was. William Osler, considered the Father of Modern medicine, was a large advocate of bedside teaching. He has said: ‘‘Take the Read more…
Today’s Morning Report is courtesy of Dr. Grock! Burnout Definition: Syndrome of emotional exhaustion, depersonalization, and a sense of low personal accomplishment that leads to decreased effectiveness at work (Shanfelt, et al, American Journal of Medicine, 115, 2003). Guess what: doctors are burned out. This year – 46% Read more…
A 42 year old, HIV positive man (not on HAART therapy) is brought in by his brother because “the skin on his head is turning into smelly frosting”. The patient’s brother tells you that he too has had “the itch” for a week… You look at the brother’s hands and Read more…
A 14 year old girl is carried in by her parents after “passing out” at home. The parents report that she had an abortion 2 weeks ago after which she was transfused multiple units of blood. They report she has been complaining of increasing abdominal pain and fatigue over the Read more…
This month we discussed a great review on the resuscitation of avalanche victims given by Dr. Rolston-Cregler. If you want to read that paper in its entirety, please click this link: AVALANCHE RESUS GUIDELINES Louis was also kind enough to put together a summary of that paper and it can be found Read more…
Thanks to Dr. Eli Brown for presenting today’s Morning Report! Acute Aortic Regurgitation AR: diastolic flow of blood from the aorta into the LV Epidemiology: prevalence in U.S ranges from 2-30%, but on 5-10% have severe disease overall prevalence < 1% in general population. Predisposed in: Read more…
Ok ladies and gents, here is the final CotM for this academic year, why not marinate on a peds case. You are working in the peds emergency department when an ortho resident brings in a patient from his clinic for you to evaluate for torticollis. You are presented with a 7 y/o Read more…