Month: November 2016

Cellulitis – Observe, Admit, or Discharge?

Cellulitis is commonly diagnosed and treated in the Emergency Department, with considerable variation in treatment and disposition patterns. These patients are either: Given a dose of intravenous (IV) antibiotics before discharge home Placed on observation units for IV antibiotics before…

Rhythm Nation: November 2016

Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the interesting ECGs from Kings County. Batter up! 63F h/o HTN, HL, DM, CAD, AFib (warfarin) CHF (EF 35%) presents to King’s County for “high blood pressure”. Lucky…

Discharge that pneumo!

Last month we discussed the use of needle aspiration as an alternative to placing a traditional large-bore chest tube in patients with spontaneous pneumothoraces. One of the selling points of using these less invasive methods is that they decrease the amount…

Clinical CT – October 2016

  Written by Adam Blumenberg MD Special Thanks to Mark Silverberg MD A 54 year-old woman with a history of cigarette smoking and uncontrolled hypertension presents to the ED disoriented and mumbling incomprehensible words. Her family members say she began…

Clinical CT – August 2016

Clinical CT for August 2016 by Adam Blumenberg MD A 75 year-old woman with a history of left femur ORIF and hypertension was “clipped” on the left knee by a turning car as she was crossing the street. She is…

ED Management of Hypercalcemia of Malignancy

ED Management of Hypercalcemia of Malignancy Hypercalcemia in the ED is often times an incidental finding. The clinical presentation, management and treatment of hypercalcemia as it specifically relates to malignancy will be discussed here. Workup of hypercalcemia When considering the…