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Steven Greenstein

Case of the Month

Case of the Month 19: Inhaled Steroids for Asthma

Click here to review the case.   This is a 5 year-old boy who came to the ED for an asthma exacerbation in the setting of 3 days of rhinorrhea and sore throat. He has been taking his albuterol with minimal improvement. He has had at least 2 exacerbations in the Read more…

By Steven Greenstein, 8 yearsMarch 16, 2017 ago
Case of the Month

Case of the Month 19

A 5 year-old boy comes to the emergency department for asthma. He has recently had a sore throat and rhinorrhea that started 3 days ago. His mom has been giving him albuterol every 4 hours as prescribed but brought him in today because he continues to wheeze. He’s never been Read more…

By Steven Greenstein, 8 yearsMarch 3, 2017 ago
Case of the Month

Case of the Month 18: Refractory Epistaxis

To summarize the case, we have a 34-year-old male with no past medical history presenting with 3 days of intermittent epistaxis. The bleeding has mostly been light, but the current bleed has lasted approximately 20 minutes and is brisk. He has tried holding pressure with minimal improvement. He does not Read more…

By Steven Greenstein, 8 yearsFebruary 13, 2017 ago
Case of the Month

Case of the Month 18

A 34 year-old male with no past medical history presents with 3 days of intermittent epistaxis. The bleeds have been light for the past few days consisting of mostly a few blood streaks on the tissue. This current bleed however, has lasted nearly 20 minutes and has been a steady Read more…

By Steven Greenstein, 8 yearsFebruary 3, 2017 ago
Case of the Month

Case of the Month 17: Drug Induced Immune Thrombocytopenia

Click to view the case.   [1] Baharoglu, M. Irem, Charlotte Cordonnier, Rustam Al-Shahi Salman, Koen De Gans, Maria M. Koopman, Anneke Brand, Charles B. Majoie, Ludo F. Beenen, Henk A. Marquering, Marinus Vermeulen, Paul J. Nederkoorn, Rob J De Haan, and Yvo B. Roos. “Platelet transfusion versus standard care Read more…

By Steven Greenstein, 8 yearsJanuary 27, 2017 ago
Case of the Month

Case of the Month 17

A 46 year-old female with past medical history of DM and HTN presents with 2 days of dizziness and weakness. She was discharged 3 days ago after being diagnosed with methicillin-sensitive Staphylococcus aureus endocarditis. She was being treated with extended home IV antibiotic infusions through a PICC. Currently, she denies Read more…

By Steven Greenstein, 8 yearsJanuary 20, 2017 ago
Case of the Month

Case of the Month 15: Contrast-induced Nephropathy

To sum up the case: A 44 year-old female presented to the emergency department with 3 days of nausea, vomiting, diarrhea, and left lower quadrant pain. She has a history of diabetes and stage 3 CKD and is taking metformin and enalapril. On exam, she is found to be tachycardic Read more…

By Steven Greenstein, 8 yearsNovember 13, 2016 ago
Case of the Month

Case of the Month 15 – Presentation

44 year-old female presents to the emergency department with 3 days of nausea, vomiting, and diarrhea. She complains of mild epigastric pain but 8/10 pain to the left lower quadrant. Pain is non-radiating and described as a sharp, stabbing, and intermittent. There have been 3 episodes of non-bloody, non-bilious vomiting Read more…

By Steven Greenstein, 9 yearsNovember 4, 2016 ago
Case of the Month

Case of the Month 14 – Answer

Review of the case: 54 year-old male with Granulomatosis with Polyangitis on prednisone, ESRD, and myelodysplastic syndrome present with fever, chills and one week of hemoptysis. Has had decreased exercise tolerance and recent hospital admission showing EF 50% and small pericardial effusion. Today, he is febrile, hypertensive, tachycardic, and borderline Read more…

By Steven Greenstein, 9 yearsOctober 14, 2016 ago
Case of the Month

Case of the Month 14 – Presentation

54 year-old male with history of granulomatosis with polyangiitis (GPA), end-stage renal disease, myelodysplastic syndrome, and hypertension presents to the emergency department with fevers, chills, and myalgias x 1 day. The symptoms have worsened since his dialysis session this morning. The patient admits that he has actually been feeling this Read more…

By Steven Greenstein, 9 years ago

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Welcome to the official blog of the Kings County/SUNY Downstate Emergency Medicine Residency!

We are the residents (and some attendings) of the Kings County Hospital Emergency Department who have put together a unique mostly resident-authored blog for medical professionals.

If you have ideas for a post or are just looking for a fun way to do some individualized learning, e-mail us at CountyEMBlog@gmail.com and come be a part of our team!

Visit our YouTube channel for our recorded monthly conference lectures
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clinicalmonsterblog


Before you Walk in the Room: Abnormal Uterine Blee
Before you Walk in the Room: Abnormal Uterine Bleeding 
Is your patient presenting with abnormal uterine bleeding? Use the mnemonic PALM-COEIN to quickly formulate a differential before you walk in the room.
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential #mnemonic #step1 #step #step3


County EM presents a case of an 18 year old male B
County EM presents a case of an 18 year old male BIBEMS after being found collapsed during a half marathon. He is obtunded, diaphoretic, tachycardic, tachypneic, and has a rectal temp of 107F.
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Exertional Heat Stroke

Take Home Points:

1. Though there are no head-to-head comparisons, cold water immersion appears to be the most effective method of rapid cooling

2. Consider placing defibrillator pads before water immersion

3. Consider the use of a body bag for rapid initiation of cold water immersion

4. Employ an ‘all hands on deck’ strategy to obtain ice from the nearest source

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Morning Report Recap- Dr. Natassia Buckridge on Ke
Morning Report Recap- Dr. Natassia Buckridge on Ketamine vs PNB for analgesia


Before you Walk in the Room: Headaches
The key to

Before you Walk in the Room: Headaches
The key to tackling headaches? Knowing primary from secondary. 
#emergency #headache #migraine #emergencymedicine #em #emresident #medicalstudent #ms4 #ms3 #awayrotation #rotations #subi #diagnosis #foamed #step1 #step2 #step3


BYWITR: Joint Pain
Is your patient presenting with

BYWITR: Joint Pain
Is your patient presenting with joint pain? Think arthritis. Here's a way you can formulate a differential diagnosis before you walk into the room.
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


Slit lamp mechanics with our very own Dr. Silverbe
Slit lamp mechanics with our very own Dr. Silverberg!


Before You Walk In The Room: Eye Pain
Going to see

Before You Walk In The Room: Eye Pain
Going to see a patient with a painful eye? remember to take an anatomical approach!
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


County EM presents a case of an 18 year old male B
County EM presents a case of an 18 year old male BIBEMS after being found collapsed during a half marathon. He is obtunded, diaphoretic, tachycardic, tachypneic, and has a rectal temp of 107F.
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Exertional Heat Stroke

Take Home Points:

1. Exertional heat stroke is a time-sensitive diagnosis.

2. The core body temperature threshold of > 40 degrees Celsius may be inaccurate.  More attention should be focused on pathological symptoms in the right clinical context.

3. Anticipate common complications including thrombocytopenia, coagulopathy, liver damage, acute kidney injury, lactic acidosis, cardiovascular dysfunction, and rhabdomyolysis.

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Before you Walk in the Room: Sinus Tachycardia
He

Before you Walk in the Room: Sinus Tachycardia 
Heart rate not going down? Looking for the cause? 
Use the mnemonic "FHAST PACED" to quickly identify potential causes of tachycardia in your patient. 
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


H2H: De Winters Pattern: An OMI Equivalent for Pro
H2H: De Winters Pattern: An OMI Equivalent for Proximal LAD Occlusion
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential #mnemonic


BYWITR: Syncope
Picked up a patient with syncope?

BYWITR: Syncope
Picked up a patient with syncope? Use this framework to formulate a differential before you walk in the room 
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential


County EM presents a case of a 40-year-old woman w
County EM presents a case of a 40-year-old woman with a history of CAD and prior RCA stent who arrives to the ED with chest pain for one day. Her triage vitals are within normal limits but you notice the patient holding her chest in pain with diaphoresis. Besides ECG and blood work, what else can be used to risk stratify the patient for ACS?
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TTE for Regional Wall Motion Abnormalities

Take Home Points:

1. Regional wall motion abnormalities occur early, before ECG changes or pain

2. Consider TTE if ECG is non-diagnostic for OMI, especially in patients with moderate to high likelihood of OMI

3. Look at a prior TTE, if available

4. Know the “false-positive” causes of regional wall motion abnormalities

5. Learn the coronary anatomy to correlate with regional wall motion abnormalities

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Welcome to our Before you Walk in the Room series-
Welcome to our Before you Walk in the Room series-
Altered mental status
Is your patient confused or acting out of character? Identify the cause with AEIOU-TIPS, a mnemonic for altered mental states
#emergencymedicine #residency #medicalstudent #meded #foamed #intern #ms4 #ms3 #mnemonics


Welcome back to part 3 of Hypertrophic Cardiomyopa
Welcome back to part 3 of Hypertrophic Cardiomyopathy!
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Take Home Points:

1. When patients with known or suspected HCM present hypotensive, maximize preload and afterload and avoid inotropes and chronotropes as they may worsen LVOTO.

2. Patients with HCM can have poor tolerance to atrial fibrillation and rhythm control strategy with cardioversion or antidysrhythmics drugs should be considered.

3. First-line treatment to prevent recurrent of ventricular dysrhythmias in HCM patients are beta-blockers.

4. ICD placement in patients with HCM has been shown to reduce mortality and is a class 1 recommendation in those with an episode of SCD in the past, ventricular fibrillation, or sustained ventricular tachycardia. Remember to ask about SCD risk factors such as family history of SCD or unexplained syncope. 

5. Patients with symptoms should be admitted while those that are  asymptomatic with known or suspected HCM can follow up with cardiology on an out-patient basis.

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Welcome to "Did You Ask?" a segment where we talk
Welcome to "Did You Ask?" a segment where we talk about important pieces of information that you need to get on history when examining patients. 
Today we're gonna be talking about back pain one of the most common chief complaints in the ED. 
#emergency #emergencymedicine #medicalstudent #emresident #resident #intern #ms4 #ms3 #foamed #awayrotation #subi #differential #mnemonic #backpain #step1 #step2 #step3 #ms1 #ms2


Welcome back to part 2 of Hypertrophic Cardiomyopa
Welcome back to part 2 of Hypertrophic Cardiomyopathy!
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Take Home Points:

1. Ask about chest pain, shortness of breath, palpitations, and/or syncope on exertion during your interview 

2. ECG findings are not diagnostic but classic findings include LVH, pathologic ‘dagger’ Q waves, deep S waves in V1-V3, and high R wave in V4-V6 with abnormal T waves 

3. A bedside parasternal short axis view with an end-diastole wall thickness ≥ 15 mm is highly suspicious for HCM and warrants further investigation 

4. Beta blockers are first line pharmacological intervention and in those with refractory symptoms consider disopyramide or surgical intervention via myomectomy or alcohol septal reduction

Stay tuned for part 3 as we discuss treatment of emergent conditions and prevention of SCD!

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Heart 2 Heart
Identifying Wellen's Syndrome- Keep

Heart 2 Heart 
Identifying Wellen's Syndrome- Keep an eye out for reperfusion T waves in the inferior or lateral leads if you have transient reperfusion of the RCA or LCx- the same pattern can happen in any of the coronary distributions!


County EM presents a case of a 59-year-old male wi
County EM presents a case of a 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain
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Hypertrophic Cardiomyopathy (HCM)

Take Home Points:

1. HCM includes a complex interplay of left ventricular outflow tract obstruction (LVOTO), mitral regurgitation, diastolic dysfunction, myocardial ischemia, arrhythmias, and autonomic dysfunction

2. Although classically thought of as septal hypertrophy leading to LVOTO, multiple variants have been identified. Variants including concentric, reverse septal, neutral, and apical HCM have been identified, and nearly any pattern of LV wall thickening can occur with HCM.

3. Common adverse events include sudden cardiac death, symptoms of left ventricular outflow tract obstruction, heart failure, and arrhythmias 

4. Patients with HCM are at higher risk for myocardial ischemia even in the absence of CAD. 

5. The pathophysiology of anginal chest pain and rising troponin in HCM is related to increased oxygen demand secondary to hypertrophy, microvascular dysfunction, and small coronary vessel medial hypertrophy, which causes decreased coronary flow reserve and regional myocardial ischemia. 

Stay tuned for part 2 as we discuss early identification of HCM!!

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Today we share a post on the pathophysiology and m
Today we share a post on the pathophysiology and management of priapism. The big takeways are as follows:

1) Priapism is  either ischemic or non-ischemic and this is one of the most important distinctions to make as untreated ischemic priapism leads to fibrosis and permant sexual dysfunction.

2. Cavernosal blood gas in ischemic priapism will show elevated PaCO2 > 60 mmHg, decreased PaO2 < 30 mmHg, and pH < 7.25.

3. The most important treatment for priapism is drainage. This is achieved by injecting a 20-gauge needle into the 3 o'clock or 9 o'clock (sometimes both) position to aspirate blood from the corpus cavernosum. It is important to only aspirate from these positions to avoid injury to dorsal vessels or the urethra.

4. Once drainage is complete, inject phenylephrine into the corpus cavernosum to help prevent re-accumulation.

5. Most pharmacies will give you a phenylephrine bottle with 10 mg/mL concentration. You should dilute this ten-fold: take 1 mL of phenylephrine and mix into a 9 mL saline flush, creating a new concentration of 1mg/mL, or 1000 mcg/mL. You can inject 0.5cc of your phenylephrine mixture into the corpus cavernosa using the same needle you used for drainage (limit to 3 injections).

6. Lastly, all patients with priapism should be scheduled for urgent urology follow-up. For patients with recurrent episodes, or where multiple attempts at drainage have proven unsuccessful, you can consider an emergent urology consult.

Check out our story and highlight reel for direct links to the article! Also check out our website for more juicy content!


Today we share a post on the management of intracr
Today we share a post on the management of intracranial hemorrhage. The goal in the ED is to prevent hematoma expansion, edema, and herniation. The big takeaways are as follows:

1. For patients presenting with systolic blood pressure (SBP) between 150 and 220 mmHg, acute lowering of SBP to a target of 130 to 150 mmHg is safe and reasonable 

2. Seizure prophylaxis is not routinely recommended except in lobar involvement.

3. Studies show that hypertonic saline leads to a greater reduction in ICP when compared to mannitol.

Check out our story and highlight reel for direct links to the article! Also, check out our website for more juicy content!



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