PGY3 Clinical Monster in Training
It’s January in the pediatric emergency department, and you are on your guard. You have vowed to protect yourself against all variety of evil cold viruses sneakily residing in cute, sniffly children, aiming straight for your respiratory tract. You go down the list of chief complaints successfully dodging all the Read more…
A 37-year-old male with no past medical history comes into the ED complaining of palpitations and weakness. He has felt intermittent palpitations in the past, but they usually self resolve within a few minutes. The symptoms started when he first woke up, and this has been ongoing for the past Read more…
It’s a Monday morning, and you’re just too excited for the start of the week. Your first patient of the day rolls up to the front of the unit, just as you put your things down. Your trusty triage nurse walks up to you vitals in hand, and says “Doc, Read more…
A 54-year-old female with past medical history of HTN, CAD s/p two stents in 2013, and atrial fibrillation is brought in by EMS into the resuscitation bay. You notice she appears tired and weak but appears alert and mentating well. She reports an episode of syncope, and her daughter called EMS, who then Read more…
You are about halfway through your Peds shift, when a little girl is brought in by her mother for worsening rash and swelling. You immediately notice the child is in no respiratory distress and is awake and alert. She is febrile to 102.6°F. However, other vital signs are within normal Read more…
It’s Friday night, and you get a second in between patients. You are dreaming of sipping a Mai Tai by the beach, when your dream is quickly brought to an end. A 35-year-old young man walks into the ED, complaining of an episode of “passing out” after a few drinks. Read more…
It’s about 12am on a Tuesday, and you’re almost done cleaning up that post-dinner rush in the pediatric ED. You scuttle that last fever with a rash out the door, stickers in hand, when another one pops up on your board: Three-year-old male, here with abdominal pain. Oh, those little Read more…
It’s Monday morning in the ED, and to your greatest surprise, it’s been quiet for a few hours. You are a bit too superstitious to say anything out loud, but you are pretty excited. In fact you are so excited, with a bit too much time on your hands, so Read more…
You’re sitting in the peds ED, and just about done with the 10th URI you’ve seen all day. You’ve got the sniffles from those cute coughing babies, and you’ve been getting through the day on just those “free” pedialyte icee’s and apple juice, so you’re a bit delirious. You start Read more…
It’s Friday night in Central Brooklyn, and it’s your 6th night shift in a row. It’s surprisingly quiet in the critical care/resuscitation unit, and that notification phone still hasn’t rung. Just when you sit down, corner deli coffee in hand, trying to figure out if it’s actually Friday or Saturday, Read more…