Here’s Dr. Abram with today’s Morning Report! Fournier’s Gangrene Named for: Jean-Alfred Fournier, venereologist in Paris, in an 1883 lecture Anatomy: Tends to run in between fascial planes, often sparing superficial and deep structures. Scarpa’s fascia can run up abdomen to clavicles. Risk: Portal of entry, virulence of pathogen, immunocompromised, co-morbidities Read more…
Here’s Dr. Carmelli with today’s Morning Report! Noninvasive positive pressure ventilation (NPPV) Definition -NPPV refers to positive pressure ventilation delivered through a noninvasive interface (nasal mask, facemask, or nasal plugs), rather than an invasive interface (endotracheal tube, tracheostomy). Indications: Younger age Lower acuity of illness (APACHE score) Able to cooperate, better Read more…
A 53 year old man from Barbados comes into your Fast Track area with complaints of a foreign object in his eye. He worked for years in the tropical outdoors as a conservationists. You examine his eye, preparing to fake a funduscopic exam before you fluorecein his eye like crazy, only to Read more…
Hello again fellow Bloggers! Time for the monthly blogpost you have been waiting for, Rhythm Nation. Enjoy! 90 yo F w/ h/o HTN, HLD, DM, asthma, presenting with 3 hours of acute SOB and mid-sternal, non-radiating chest pain. V/S: BP: 191/99, HR: 76, RR: 40, O2 99% on Read more…
Presented by: Dr. Cassie Thomassin Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan The Fictitious Case A 22 y/o F with PMH insulin-dependent DM and hypothyroidism is brought in by EMS for altered mental status. Family members on the scene noted she has been Read more…
Let’s talk about the patient with HIV, who maybe presents with a fever, and says he doesn’t know his last CD4 count but thinks it’s ‘not good.’ Reach back into that fund of knowledge you’ve perhaps suppressed from your crazy, cramming, coffee-chugging days of Step 1 & 2, and tell me Read more…
Let’s go and see your next patient in the pediatric ER: a 4 month baby with a chief complaint of “head injury”. Mom says that she was playing with the baby yesterday. While playing, the baby kicked and then hit his head against the wall! He cried immediately for 10 Read more…
Dr. Kim cast his lot with an excellent expanded differential diagnosis list that reviewed a few of the other things we should look out for, but Dr. Balakrishnan took an early pure shot and hit this diagnosis largely square on. To review the case, go to the following link: http://blog.clinicalmonster.com/2015/10/case-of-the-month-4-presentation-2/ Quick recap: 34 Read more…
Chapter 1 You greet EMS at the door. They are bringing in a man who eerily reminds you of your drunken choreography at your own wedding. You ask some questions and appreciate a fully responsive man with violent, uncontrollable muscle contractions of the extremities, trunk and face – looks like Read more…
12 year old female with a history of Heterotaxy Syndrome and cardiac surgery presents to your ED with sudden onset of right arm and leg weakness. She has a history of being on Warfarin for a “clot” in her heart and her symptoms suddenly came on about 1 hour PTA Read more…