Today’s Morning Report is presented by Dr. Aldokhi! Post-Partum Preeclampsia 30 year old female referred from GYN clinic one week post partum with BP 150/98 for Preeclampsia work up Definitions – Preeclampsia: HTN with proteinuria or end organ damage – Eclampsia : Preeclampsia with seizure – HELLP: Hemolysis, Read more…
Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one (or two!) resident for recognition and embarrassment on this blog. This month’s edition goes to Read more…
Thanks to Dr. Lo Cascio for today’s Morning Report! Case: 70 F BIBA with transcutaneous pacing pads on being paced at 80 bpm. Pt is unresponsive with SBP 170s. Pt is normothermic with FS 170. Pt has PMH of HTN, DM, ESRD (no missed dialysis). Pt took ibuprofen at home yesterday for aches Read more…
Dr. Lewis presents today’s Morning Report! Hypoglycemia Hypoglycemia: serum glucose of <50 mg/dL, less than 30 mg/dL is considered severe hypoglycemia Causes Re Renal Ex Exogenous Insulin/antihyperglycemics P Pituitary Insufficiency L Liver A Alcohol, Addison’s, Aspirin I Infection, Insulinoma N Neoplasm D Drugs Medications Sulfonylureas (glipizide/glyburide): ↑insulin Read more…
Bad things happen. Trauma and tragic illnesses take the young and old. The world is not kind or just. And we, emergency docs, work at the intersection of daily life and tragedy. We strive to mitigate illness and injury. But often we can’t. We’ve all seen tragedies and monsters. And Read more…
Here’s Dr. Adal with today’s Morning Report! Peritonsillar Abscess Differential Diagnosis: Tonsillitis, Pharyngitis, Epiglottitis, Paratonsillar Cellulitis, PTA, RPA, PPA, Diptheria, Ludwigs angina, Uvulitis, Mononucleosis, Acute HIV, Carotid Aneurysm. Epidemiology: Most common deep space infection of the neck. Young adults in winter and early spring. Pathogenesis: Polymicrobial Read more…
Thanks to Dr. Wang for presenting today’s Morning Report! Nailbed Injuries Typically caused by crush injuries with hammer, in doorway, or car doors. Trauma by saws, knives, or drills can also cause these injuries Subungual hematoma: 50% have underlying nailbed laceration Nailbed injuries: nailbed lacerations Workup includes Read more…
Dr. Waldman presents today’s Morning Report! AMMONIA TOXICITY Where can we find ammonia: glass cleaners, toilet bowel cleaners, metal polishes, floor strippers, wax removers, smelling salts, some refrigerants, explosives, pharmaceuticals, pesticides, textiles, leather, flame-retardants, plastics, pulp and paper, rubber, petroleum products, and cyanide INHALATION INJURY: Most common Read more…
Morning Report is back in the new year! Here’s Dr. Bogoch with a brand new 2015 edition! Evaluation of Vaginal Bleeding in Second Trimester > 20 weeks: we generally do not see the patients except for severe illness or trauma. Differential Diagnosis: Ectopic pregnancy is exceedingly rare, but Read more…