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 resident for recognition and embarrassment on this blog. This month’s edition goes to . . Read more…
Today’s Morning Report is presented by Dr. Corburn! Following blunt facial trauma, a 35 year old patient is noted to have marked proptosis, restricted ocular movement, and decreased visual acuity of the left eye. What is the recommended temporizing maneuver? Anterior chamber paracentesis Carbon inhalation Globe massage Lateral canthotomy Read more…
Here’s Dr. Ammon with a great Halloween edition of Morning Report! DELIRIUM TREMENS Most severe form of alcohol withdrawl manifested by AMS (global confusion) and sympathetic overdrive (autonomic hyperactivity). CHRONIC ETOH -> CNS DEPESSANT -> ETOH-GABA -> inhibitory effect…. No ETOH -> OVERACTIVE CNS -> CARDIOVASCULAR COMPROMISE… Read more…
Thanks to Dr. Grock for presenting today’s Morning Report! The Sign Out 45 yo M h/o AIDS (CD4=8, not on HAART) presents with voluminous non-bloody diarrhea x 3 days and near syncope/light-headedness today. No recent travel/antibiotics. He reports trying to drink a lot of fluid, but is a little nauseous, Read more…
Thanks to Dr. Kincade for presenting today’s Morning Report! Esophageal Varices Esophageal varices are dilated veins within the wall of the esophagus, usually at the distal end Epidemiology -50% of patients with cirrhosis; 25% to 35% variceal rupture within 2 years of diagnosis. -Greatest risk of rupture in Read more…
Here’s Dr. Alsup with today’s Morning Report! Eye Infections Orbital septum -Connective tissue extension of the orbital periosteum -Extends into the upper and lower eyelids Periorbital / Preseptal Average age: 2 yo Result of local trauma, including insect bites Spread from contiguous structures, as in conjunctivitis, hordeolum, Read more…
Well that was unexpected… By Dr. Michelle DiMare Welcome back! This month’s post explores a common diagnosis with an uncommon complication. Or is it more common than we think?? In a fictional hospital nearby, a healthy 20 something year old female is seen for chest pain Read more…
Thanks to Dr. Gomes for another Morning Report! Beta-blocker Toxicity Receptors Beta 1- primarily in heart muscle. Activation –> increases HR, contractility and AV conduction. Decreased AV node refractoriness. Beta 2- primarily in bronchial and peripheral vascular smooth muscle. Activation –> vasodilation and bronchodilation Beta 3- primarily in Read more…