A 14 year old named Fred Weasely presents to your ER complaining of finger pain while playing some game called “Quidditch”. He reports he grabbed an opposing players cape as they were “flying…er…running” away. Since, he has had trouble making a fist with that finger. PS The answer isn’t skele-gro. PPS Read more…
To start: The ARDS Task Force paper from 2012 that revised the definition of Acute Respiratory Distress Syndrome from the 1994 American European Consensus Conference (AECC). The paper is most impressive as it approached definitions of illness by applying them to quantifiable outcomes. This idea bridges the gap between the clinical definitions Read more…
Days before a large archery competition, Robin Hood walks into your ER complaining of painless loss of vision to his left eye (or as ophtho would haughtily write: OS). Name the diagnosis associated with each of the following fundoscopic exam findings: By Dr. Andrew Grock and Read more…
Excellent responses from our residents. Winner of this month goes to SLiang for a more complete answer (and including the correct answer on the differential)! Congratulations. To review the case before proceeding, see here In short, young man with refractory seizures associated with hypotension, and hypokalemia. 1. What is your initial Read more…
Brought to you by Dr. Sukhi Bains. A review of: McClellan M et al. (2014). Accountable Care Around The World: A Framework To Guide Reform Strategies. Health Affairs; 33(9): 1507-1515 We had another great Journal Club at the last Health Policy Mini-Fellowship meeting in November. The theme for the Read more…
It’s been a strangely calm shift when all of a sudden… EMS wheels in a middle aged male having a generalized tonic-clonic seizure. They say he was found seizing on the street. He was given 10mg midazolam IM without cessation of seizure activity and brought to the ER. Read more…
The following patients present to your fictitious ER near Hogwarts (though you are still a muggle and limited to non-magical medicine). Please describe the appropriate treatment. By Dr. Andrew Grock and Dr. Slappy Baguette (Dr. Sally Bogoch) References Robert W. Neumar,et al. 2010 Read more…
A made up patient walks into Dr. Sally Bogoch’s fictitious Hospital (the aptly named “Bogoch General”). 6 year old male is brought in by ambulance for limping for 7 weeks. ROS neg, VS wnl. PE: He has no bony tenderness or pain on range of motion to his knee, but does Read more…
Our winner is the illustrious ablumenberg! For the initial presentation, see here. In brief, we have a gorilla of an acid-base question with pertinent history including a history of diabetes and alcohol abuse. This one’s a little long, so put on your focus hat. VBG: pH 7.3, PO2 102, PCO2 30, Read more…
Welcome to our weekly Wednesday Wrap Up from conference today. Dr. Rebecca Carter Acute monoarthritis is septic until proven otherwise The most common pathogen is? Imaging and labs aren’t very helpful in diagnosing septic arthritis, but are good for excluding other causes of joint pain Start empiric abx early based Read more…