Presented by: Dr. Andrew Nguyen Summarized by: Dr. Wendy Chan Reviewed by: Dr. Ian deSouza The Fictitious Case: 81 y/o F with PMH HTN, DM, CVA, afib, CAD, and recent hospitalization presents with 1 week of generalized weakness, nausea w/o vomiting, and pain to left toes with swelling and discoloration. Read more…
This one comes not from our annals but it is interesting. Patients with UGIB can be very unstable and getting control of that bleeding is a key factor in keeping them alive. Here is a SR that provides evidence that TXA reduces mortality in these patients. Compelling given the low Read more…
Today’s Morning Report is presented by Dr. Kendall HEMOPHILIA Hemophilia A – Factor VIII deficiency Hemophilia B – Factor IX deficiency History: Type and severity of factor deficiency? Nature of the hemorrhage? Previous treatments with blood products? Presence of inhibitors, probable titer? For hemophilia A, history of Read more…
Dr. Bains is back with another Morning Report presentation!
Presented by Dr. Nataisia Terry Summary by Dr. Kaycie Corburn The Case: 72 yo M PMH HTN and GERD presents to the ED with 1d h/o difficulty urinating and back pain. Basic labs showed thrombocytopenia. Non contrast CT showed bony sclerosis through out the vertebral bodies and splenomegaly. EKG showed Read more…
Hemorrhage is one of the leading causes of mortality in trauma patients: responsible for approximately 30-40% of deaths overall and 50% of deaths within the first 24-hours post-trauma. Wow. That’s a great deal. So let them have blood? Well… not so simple. First, there is the poorly understood “coagulopathy of Read more…
EM-CCM Conference on 6/18/14 Presented by Dr. Bonnie Brown Special Thanks to Dr. Gillette for his insightful comments and attendance. The Case 41 yo F pmhx Sickle Cell Disease presents 15 hours after onset of right face numbness, right arm numbness and weakness, and difficulty speaking. Stroke work-up performed including Read more…
The Case So the radiology resident says to me in disbelief, “you want another lower extremity Doppler when this patient had a negative study 2 weeks ago?” I answered, “Yes. A single one does not rule out DVT.” He asked me where I got that fact, and unfortunately, I could Read more…