Author: Alec Feuerbach Peer Editor: Nicole Anthony Faculty Editor: Mark Silverberg This week we have two ECGs to examine. The first is the ECG of a 50-year-old woman who presented to the ED after experiencing uncomfortable palpitations and lightheadedness. ECG 1: This ECG shows a rapid ventricular rate of Read more…
Author: Nivedita Poola Peer Editors: Alec Feuerbach and Nicole Anthony Faculty Editor: Mark Silverberg Case A 72-year-old female with a past medical history of hypertension, hyperlipidemia, asthma, CVA with residual right sided weakness and aphasia was admitted to the hospital from subacute rehabilitation after a recent subacute infarct. Read more…
Author: Malithi Navarathna Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Reviewer: Mark Silverberg A 24-year-old female with a past medical history of obesity and a “heart problem” during childhood presents to the ED complaining of palpitations and chest pain for one week. What is your analysis of this ECG? Read more…
Author: Karen Jeoffroy Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Editor: Mark Silverberg Case A 75-year-old male with a history of hypertension, diabetes, hyperlipidemia, and coronary artery disease (on aspirin and clopidogrel) presents to the Emergency Department (ED) four hours after an episode of left-sided, non-radiating chest pain with associated Read more…
Author: Alec Feuerbach Peer Reviewers: Trevor Cerbini, Nicole Anthony Faculty Reviewer: Scott Kendall Two years ago, Dr. Trevor Cerbini wrote an excellent post for this blog highlighting the basics – and beauty – of buprenorphine (bupe). He highlighted the staggering mortality of Opioid Use Disorder (OUD), explaining that 5.5% Read more…
Author: Zachary Moore Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Editor: Mark Silverberg It is just another night at University Hospital of Brooklyn when a 70-year-old female with a past medical history of hypertension, hyperlipidemia, COPD, and hypothyroidism comes in with altered mental status for the past few hours. Read more…
PART I – Cyanide Poisoning (aka “Doc, it hurts right here” *points to mitochondria*) Authors: Trevor Cerbini, MD; Alec Feuerbach, MD, Peer reviewers: Nic Anthony, MD; Wesley Chan, MD Faculty reviewer: Sage Wiener, MD From apple seeds to false teeth, Tylenol, and cigarettes, salad bars to kool-aid, cyanide is Read more…
Transient Bundle Branch Blocks Written by: Alec Feuerbach, MD Edited by: Robby Allen, MD; Antonia Quinn, DO Remember our case: a woman 60 years of age presented with chest pain and an ECG with a left bundle branch block (1,2). She was placed in observation where her bundle branch Read more…
Written by: Alec Feuerbach, MD Edited by: Robby Allen, MD; Antonia Quinn, DO A 60(ish)-year-old woman presents to the ED describing an intermittent substernal chest pain that began the night before. She last experienced it again in the morning and has felt it intermittently in the ED. The pain is Read more…
Remember where we left off: you just spoke to a fifty-year-old woman describing severe, intermittent chest pain radiating to the back and left arm. You order aspirin and nitroglycerin, along with a troponin and you are now looking at her ECG: You note the rate is about 75 Read more…