4th Year EM-IM Resident at SUNY Downstate/Kings County Hospital
No brave souls made themselves present last month, so let’s go through the thought process and what I wanted you to recognize with this case. Quick summary: 34 y/o woman with PMD SS disease presents with 3 days of sickle pain crisis and 8 hours of N/V. Exam reveals a Read more…
Before you all start to get your holiday groove on, crunch some brain cells and take a swing at the halfway point for this year’s COtM series. A 34 y/o F with PMH sickle cell disease is BIBEMS to the ED. She regularly visits the ED for sickle Read more…
There were no brave souls this month so it’s time to go over the relevant teaching points from this case. In summary: A 63 y/o F presents with sudden, severe, cramping abd pain that waxes and wanes. Exam reveals diffuse abd tenderness, labs show elevated lactate and a UTI, CT scan Read more…
Before you stuff yourself with turkey, unload some knowledge and take a stab at this month’s COtM. HPI: A 63 y/o F presents with sudden, severe, cramping abd pain that awoke her from sleep 3 hours ago. Pain is generalized and radiates to her lower back and causes her to feel Read more…
Dr. Kim cast his lot with an excellent expanded differential diagnosis list that reviewed a few of the other things we should look out for, but Dr. Balakrishnan took an early pure shot and hit this diagnosis largely square on. To review the case, go to the following link: http://blog.clinicalmonster.com/2015/10/case-of-the-month-4-presentation-2/ Quick recap: 34 Read more…
Autumn is here and hot off of CPC, COtM surges forward. Get ready to crunch those brains and be a diagnostic hero. A 34 y/o M presents to the ED with 3 days of watery diarrhea with small amount of mucous, fever, chills, cough with clear phlegm, chest pain, Read more…
We had two heavyweight stabs at the case this month, and right off the bat I will tell you that it is not possible to be 100% certain of any diagnosis in this patient based on the info given. However, this case was presented to highlight a severe pathology that Read more…
Come one, come all, and get your sleuthing caps on to figure out this months COtM. You are doggedly working in the Janus Medical ED when a 72 y/o M with PMH HTN, CAD and prostate CA s/p radiation 5 years ago presents with 2 weeks of AMS. He answers yes Read more…
Congratulations to Dr. Blumenberg on winning this month’s COtM. There were two well thought out responses dueling for supremacy this month, but there can only be one, and Blumenberg highlighted a crucial aspect to the management of this patient which cannot go unawarded. Here was the presentation for those Read more…
Coming in hotter than August, here is this month’s COtM presentation: A 51 y/o M presents to your ED with 6 days of imbalance and difficulty walking. He says he feels that he cannot keep himself upright when he walks and that “nothing seems to line up” when he looks at an Read more…