Month: December 2016

Bored and Waiting for Santa

  It’s Christmas Eve, and you walk in to the ED wishing for a silent night. You get settled in, and you see “Clause, Santa- 1746yo M wrist pain” show up on your board. Apparently, Rudolph found his way into…

Endophthalmitis Diagnosis and Treatment

Endophthalmitis Definition: Inflammation, usually from an infection, within the anterior and posterior segments of the eye.4 Symptoms/Signs:2,5 Symptoms include blurry vision (93%), eye pain (75%), lid swelling (33%), and conjunctival injection (81%) **Typically there is no fever or leukocytosis for…

Abscess Obsession

You’re working a peds shift when a concerned pair of parents brings their three year old child in with a swollen, red, warm bump on his forearm. They first noticed it yesterday, and it has progressively gotten larger. He’s not…

More than just a fracture!

A 55 year-old morbidly obese female was brought in by EMS after a mechanical fall at home. She sustained the above distal tib-fib fracture while attempting to stand up. No LOC reported, and she is not taking any blood thinners…

Rhythm Nation: December 2016

Happy holiday bloggers! The year would not be complete without one more exciting ECG for your curious minds to ponder. So without further ado, here is the case: A 71 year-old man with PMH significant for HIV on HAART, IVDU,…

Acute Pulmonary Edema: Admit Everyone?

A 52-year-old man with diabetes, hypertension, end-stage renal disease on dialysis, and CAD presents to the ED with sudden onset of shortness of breath. He endorses missing his last dialysis session because he left the country for a week and…

Acute Cardiogenic Pulmonary Edema

They were fine yesterday, now they’re drowning!   “Flash” (acute) pulmonary edema is a common critical condition in the emergency department, and it can have multiple precipitating factors and etiologies. After evaluating for acute myocardial infarction, tachydysrhythmias, and valvular pathologies…

Dr. Wilhelm Frederick von Ludwig

  46 year-old female with diabetes presents for sore throat and facial swelling for the past 3 – 4 days. Patient states she’s been experiencing difficulty with chewing due to pain. The patient also endorses tactile fevers. On exam, you notice multiple…