Resident Physician, EM/IM
by Sana Kathawala, MD MBA It’s a quiet day in the ED. You’re twiddling your thumbs wondering whether you should get a second cup of coffee to keep awake when the notification phone rings. “68-year-old male with history of diabetes, hypertension, and ESRD with witnessed syncope after hemodialysis earlier today. Read more…
by Peter Tepler, MD A 40-year-old woman comes to the hospital by taxi. After reporting severe headache, the triage nurse notices that she is garbling her words and immediately takes her to the stroke assessment area and grabs you. Her ABCs are all intact. Patients triage vitals are: HR: 84/min Read more…
We had only one response to this most recent edition of Case of the Month, and Dr. Birnbaum hit the nail right on the head. Check here for the complete vignette. To summarize: The patient is a 28-year-old man with a history of systemic lupus erythematous with numerous complications, and Read more…
Get your thinking caps ready folks, for it’s time for the newest edition of Case of the Month. The patient is a 28-year-old man with a history of SLE complicated by lupus nephritis, who presents with pressure-like mid-back pain since last night. He experienced no relief with oral Read more…
We had three wonderful answers to last month’s COTM, but Dr. Segarra’s comprehensive response takes the cake. For a complete review of the case, please click here. Just to recap: 50-year-old woman with DM2, HTN, GERD, recently completed 6 months of TB therapy, presented with abdominal pain, N/V, Read more…
After a two-month hiatus, Case of the Month returns! Get your thinking caps on for July’s Edition… The patient is a 50-year-old woman with a previous history of type II diabetes, and recently completed a 6-month course of treatment for tuberculosis, presenting with 5-6 days of worsening lower Read more…
Both of this month’s responses hit the diagnosis square on the head: Dr. Schnitzer’s succinct reply with the differential, work-up, and disposition, and Dr. Hernandez’s expanded (and entertaining) discussion. Click here to review the case. A quick recap: A 15 year-old boy presents with chest pain, decreased oral intake, cough, Read more…
Keeping with the pediatrics theme, here is the freshest installment of Case of the Month. A 15 year-old boy with no significant past medical history presents to the Janus ED with chest pain and decreased oral intake over a two day period. He complains of nausea with two episodes of Read more…
Well, Winter is finally here! And with it is the answer to December’s Case of the Month! Click here to see the initial vignette. To recap the case, the patient is a a 37 year-old obese man with a past history of MI, CHF, OSA, CKD, and HTN who presents with progressive exertional dyspnea, Read more…
As they say in the North, Winter is Coming. But what better way to stay warm than by putting on your thinking cap and trying your hand at this month’s COTM? The patient is a 35 year-old man with a previous history of MI, OSA, CHF, HTN, and CKD, Read more…