Author: edenkim

Eden Kim, DO, MPH

PGY-3 Emergency Medicine Resident

EM-Critical Care: Thyroid Storm

Case: A 48 year-old man with no PMH presents via EMS with dyspnea and diarrhea worsening over 2-3 weeks. He has attempted to self-treat the diarrhea with loperamide. He also reports generalized weakness, swelling in both his legs, and palpitations.…

Cellulitis – Observe, Admit, or Discharge?

Cellulitis is commonly diagnosed and treated in the Emergency Department, with considerable variation in treatment and disposition patterns. These patients are either: Given a dose of intravenous (IV) antibiotics before discharge home Placed on observation units for IV antibiotics before…

EM-Critical Care: ECMO

Case A 35 year-old female with no PMH is brought in by her mother for acting strangely. Mother notes the patient has had two days of cough and cold-like symptoms with nausea today. She slept all day and upon waking,…

Refractory Shock

It’s a busy night shift when a nurse alerts you to an elderly patient sent from a nursing home who is hypotensive, tachycardic, tachypneic, febrile, altered, and appears dehydrated.  You assume sepsis, send labs, begin treating empirically with broad spectrum antibiotics, and…

Popping Bottles: PO Contrast in the ED

It’s a busy day in the Emergency Department and you pick up a patient sent from clinic to “r/o appendicitis.” He is tachycardic and appears uncomfortable with moderate RLQ abdominal tenderness. Your attending tells you to give the patient some oral…