Click to view the case. [1] Baharoglu, M. Irem, Charlotte Cordonnier, Rustam Al-Shahi Salman, Koen De Gans, Maria M. Koopman, Anneke Brand, Charles B. Majoie, Ludo F. Beenen, Henk A. Marquering, Marinus Vermeulen, Paul J. Nederkoorn, Rob J De Haan, and Yvo B. Roos. “Platelet transfusion versus standard care Read more…
A 21 year-old male presents to your ED with complaints of fever, rash, and generalized malaise. His triage vitals are HR 112, BP 95/55, RR 22, POx 98%, T 102.3F. When you go into the room to exam him, you notice a tampon in his right naris. When you ask Read more…
It’s four o’ clock on a gentle Sunday afternoon. You stir the dregs of your Turkish coffee, secretly hoping for an exciting patient to fill the last three hours of you Critical Care & Trauma shift. As you set your mug on top of the “No eating or drinking!” sign, Read more…
Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the ECGs seen at King’s County. Onwards! 87 year-old male, history of HTN, dyslipidemia, DM, Stage III CKD, Prostate cancer s/p radiation presents with syncope. Two weeks ago, he noted urinary frequency and saw a doctor in Brooklyn Read more…
A 46 year-old female with past medical history of DM and HTN presents with 2 days of dizziness and weakness. She was discharged 3 days ago after being diagnosed with methicillin-sensitive Staphylococcus aureus endocarditis. She was being treated with extended home IV antibiotic infusions through a PICC. Currently, she denies Read more…
A previously healthy 3 year-old boy was brought in by his mom who reported pink urine after visiting his grandmother over the Christmas break. Review of systems is otherwise negative. The patient has no medical history and does not take any medications. He is well-appearing and afebrile. The physical exam is Read more…
A few months back, I wrote about the lack of accuracy in using peripheral venous blood gas to estimate the CO2 of an arterial sample, particularly when the levels are very high1. My continued review of the subject supports the unreliability of such interpretation of peripheral venous values alone. Dr. Rees, a researcher who Read more…
New year, new beginnings, and new resolve. A 31 year-old slightly overweight male visits the emergency department a week after New Years with a chief complaint of muscle soreness. He had recently attended a soulcycle session with his girlfriend as part of his new year’s resolution to lose some of his winter weight. The next day he was extremely sore (more than expected) and started to have dark urine (not expected). Our enthusiastic exerciser has rhabdomyolysis.
Patellar Dislocation By: Juliana Jaramillo, MD PGY2 Case: 24 year-old female presents with right knee pain after slipping on ice. Her right leg got caught and twisted, and she felt as if something came out of place. She is unable to extend at the knee. Upon evaluation of patient you Read more…
Well, Winter is finally here! And with it is the answer to December’s Case of the Month! Click here to see the initial vignette. To recap the case, the patient is a a 37 year-old obese man with a past history of MI, CHF, OSA, CKD, and HTN who presents with progressive exertional dyspnea, Read more…