Author: edenkim

Eden Kim, DO, MPH

PGY-3 Emergency Medicine Resident

Cracking Skulls

    Scenario: You are evaluating a 58-year-old male with hypertension and cirrhosis who presents with a sharp, right-sided, severe, non-radiating, constant headache that started suddenly two hours ago while he was walking to get something to eat. Shortly after…

Valproic Acid Toxicity

The Case 50-year-old woman is brought in by EMS after intentional ingestion of her 500 mg extended release valproate in a suicide attempt approximately 40 minutes prior to arrival. She had recently filled her valproate prescription with 80 tablets and…

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…

Extracorporeal Membrane Oxygenation

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,…

Listen to the Bass Go Boom…

The Case: A 20 year-old male h/o DM was found down and unresponsive after a gas explosion downtown with agonal respirations and extensive burns to anterior trunk, right upper extremity and bilateral lower extremities. Vital signs were BP 150/92 HR…

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…