A 67-year-old man with history of COPD, HIV (CD4 50), peripheral vascular disease, DVT, and chronic renal failure presented to the ED with AMS and dyspnea after missing one dialysis session due to a transportation issue. His home attendant found him at home confused and called EMS. She reported that there was no Read more…
It’s another sweltering summer day down South. Willie Nelson is trying to stay cool before his big show, doing what he does best–drinking iced tea. (You thought I was going to say something else, didn’t you?) He begins to feel severe flank pain, writhing and sweating from the pain and summer Read more…
Morning Report Written by: Jackie Shibata MD (Reviewed by deSouza) Here’s the scene… It’s Sunday and you get a transfer from an outside hospital for a young guy with constant abdominal pain and mild distention since falling off his bicycle the night before. He was drunk, swerved to miss a Read more…
Thank you Dr. Vega for this Morning Report Hepatorenal Syndrome Patient usually has history of cirrhosis, hepatitis, or can be acute in setting of ATN or recurrent hospitalizations with nephrotoxic agents. Types of hepatorenal syndrome Type I: Rapid/progressive impairment of renal function with initial serum creatinine level doubled from baseline Read more…
This block’s EM-CCM was a fantastic review of a commonly seen problem at its extreme. For the sake of brevity we will review: Renal failure associated metabolic derangements Indications for urgent dialysis Treatment of hyperkalemia- this is our bread and butter To bicarb or not to bicarb Not all troponinemia Read more…
Thanks to Dr. Waldman for today’s Morning Report! Penile Fractures Definition: But there’s no bone… traumatic rupture of the corpus cavernosum Mechanism: Sudden blunt trauma or abrupt lateral bending of the penis in an erect state Breaks the markedly thinned and stiff tunica albuginea (during an erection Read more…