Today’s Morning Report is presented by Dr. Osagie! Minor Head Injury Canadian Head CT Rule: CT is only required for patients with minor head injury with any 1 of the following findings. Patients with minor head injury who present with a Glasgow Coma Scale score of 13 to Read more…
A 52 y/o woman w/ fibromyalgia is found alone in her room in a confused state by her maid. She recently lost all of her retirement money and constantly “Blames Obama.” She is then rushed to the emergency room where she is found to be disoriented x2 (oriented to the Read more…
Thanks to Dr. Muhlfelder for presenting today’s Morning Report! Plantar Puncture Wounds How remote is the injury? Comorbidities? Tetanus Status? Diabetics present later 2/2 neuropathy/decreased sensation, 3x risk of osteo For all, consider deep penetration given weight-bearing area, risk for osteo ~ 0.5% Imaging??? Assess for retained Read more…
Written by Randi Ozaki …and probably one of the more annoying clinical questions that we’re faced with in the ED. PERC (pulmonary embolism rule-out criteria), D-dimer and Well’s criteria have been discussed ad nauseam, but the question I pose to you, is how does Read more…
Serena Williams strolls into your ED complaining of right eye pain for 2 days. She tells you that her right eye started hurting 2 day ago, after a tennis ball hit her face while practicing to dominate the US Open and win the 2015 Serena Slam. Since then she developed pain, photophobia, Read more…
Here’s Dr. Brevil with today’s Morning Report! Ocular Ultrasound Since the anterior and posterior chambers of the eye contain vitreous fluid, the eye is an ideal acoustic window for ultrasound imaging Normal Anatomy: Iris separates lens and anterior chamber Retinal Detachment Atraumatic RD in 1/10,000 Presence of unilateral Read more…
Presented by: Dr. Andrew Nguyen Summarized by: Dr. Wendy Chan Reviewed by: Dr. Ian deSouza The Fictitious Case: 81 y/o F with PMH HTN, DM, CVA, afib, CAD, and recent hospitalization presents with 1 week of generalized weakness, nausea w/o vomiting, and pain to left toes with swelling and discoloration. Read more…
Welcome to my first blog post, otherwise known as The Space for a Longtime Repressed Writer. I approached our editors about writing some sort of “human interest/lessons learned” blog to complement the multitude of great educational posts and interesting ED cases in TOKC, sort of allowing your mind to “take Read more…
Here is the EKG: The first interpretation would be to figure out the differential diagnosis for a regularly irregular rhythm in coupled beats. Without looking into more rare causes of coupled beats, the common causes includes atrial bigeminy, ventricular bigeminy, second degree AV block, and atrial flutter with variable conduction. Read more…
A 29 year old female with a history of a congenital endocrinological deficiency (on chronic hormonal replacement therapy) is brought into your critical care area as a “sepsis code”. She tells you that for the past week she has had a productive cough and fever, but did not take the Read more…