Author: Brian

Kings County Hospital | SUNY Downstate Emergency Medicine Resident

-Clinical Monster Webmaster

Patellar Dislocation and Reduction

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…

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…

Disseminated Gonorrhea

By Dr. Ajala Osagie The Case 23 year-old man s/p treatment for primary syphilis at an outside clinic about 6 weeks ago presents to fast track with worsening joint pain and swelling x 1 month. Symptoms started shortly after receiving…

Management of RV Failure and Pulmonary Hypertension

By Dr. C. Sterling M.D. Pathophysiology of Right Ventricular Failure   The most common cause of pulmonary hypertension in the U.S. is left-sided heart failure, but many cases of pulmonary hypertension remain undocumented. Pulmonary arterial hypertension is a specific category of pulmonary hypertension…

The Humeral Intraosseous Line

By Dr. Sterling When compared to the proximal tibia site, the humeral site may provide a 5x greater flow rate. Indications: Emergent vascular access needed Peripheral IV access cannot be quickly obtained Consider for RSI, cardiac arrest, septic shock, hypotension Contraindications…

Acromioclavicular (AC) joint dislocations

By Jaime Moran MD, PGY-3 Edited by Dr. deSouza Acromioclavicular joint dislocations: the “Separated” shoulder EPIDEMIOLOGY & MECHANISM OF INJURY 9-12% of shoulder girdle injuries More common in males Usually results as a direct blow to the shoulder; less commonly…

The Anion Gap

The Anion Gap: Presented by Dr. Nicolas Grundmann The anion gap is a calculated measure. It is used to help determine metabolic causes of acidosis and can suggest underlying pathology in an undifferentiated patient. The full formula for calculating an…