This drug causes this rash… This drug caused an outbreak of agranulocytosis among healthy 20 year olds… The drug is widely available in countries with a large livestock industry (for use as antihelminthic)… Brief Discussion: This topic seemed interesting to investigate and Read more…
It’s a slow Sunday afternoon in the mythical ED that all of our blog posters seem to work in and you see a 70 year old male with a history of HTN, HLD and renal stones. He is mildly hypertensive and reports sharp flank, occasional abdominal pain and hematuria. Read more…
This month’s winner is ablumbenberg with a very thorough answer. This case was a doozy and involved an extremely rare Emergency Department diagnosis. To Recap: We have a 64 lady with a history of problems with her blood’s “globes” who presents with AMS, new onset CHF, and neurologic deficits. Read more…
A patient with long-standing alcoholic cirrhosis presents to your ER with altered mental status…or fever….or abdominal pain… or new onset ascites. He reports this is his normal skin color. He also reports his wife’s hair is always 4 feet tall and blue and his children’s hair color is the exact same Read more…
The Case A 64 year old female is brought in by her sister with a variety of chief complaints. 1. Blurry vision – acutely worse this morning. 2. Worsening shortness of breath, especially on exertion and on lying flat for 3 weeks. She has also developed bilateral lower extremity edema Read more…
A 65 year old man with htn presents after being woken up from sleep with trouble breathing. His breathing improved after he sat up, but he is still complaining of tongue swelling. On exam, he has poor dentition, fullness to his upper neck and submandible area, and drooling. He denies Read more…
The Case 7 year old Hispanic male presents to an imaginary ED with complaints of “heart racing” for one day. He has a known history of HTN and is on metoprolol. Parents are unsure of other cardiac history. VS: HR: 166, RR: 17, BP: 111/86, Temp: 98 F, SaO2- Read more…
A red-headed Auror presents after suffering an ear injury in a duel with one of the few remaining death eaters. He reports bleeding from the ear after being hit with “Secumsempra” (Don’t get any of these references? Seriously?!?!? See here and GO READ A BOOK…OR SEE A MOVIE!) On Read more…
It wasn’t too long ago that I reviewed pulmonary infections for a morning report (see summary here). We reviewed some fun facts including: – 10 % of HCAP have atypical infections indicating the use of Azithromycin. – For outpatient CAP treatment, IDSA recommends Azithromycin (other option being doxy) – For Read more…
To continue discussing the chest pain patient from last week…(you remember, the syphilitic patient with Turner Syndrome who presents with tearing chest and epigastric pain radiating to the back with unequal upper extremity blood pressures, a pulseless leg, neurologic deficits) By Dr. Andrew Grock Read more…