The presentation of an interesting case and then its conclusion and management.
Case Recap: Old lady with hypotension, tachycardia and JVD… I think we all agree that this person is sick. Prior to pondering the wide differential do the Basics: 2 Large Bore IVs, O2 NC vs NRB, Monitor, assess airway My Top Three Differential Diagnoses 1. Cardiac Tamponade 2. Read more…
One of the golden girls (don’t worry, not Blanche) presents to your ER after a near syncopal episode. She reports generalized weakness, but denies all other complaints. VS (scary): HR 136, RR 25, BP 70/30. The pulse ox won’t pick up. She has clear lungs, normal heart sounds, Read more…
Excellent responses from our residents. Winner of this month goes to SLiang for a more complete answer (and including the correct answer on the differential)! Congratulations. To review the case before proceeding, see here In short, young man with refractory seizures associated with hypotension, and hypokalemia. 1. What is your initial Read more…
It’s been a strangely calm shift when all of a sudden… EMS wheels in a middle aged male having a generalized tonic-clonic seizure. They say he was found seizing on the street. He was given 10mg midazolam IM without cessation of seizure activity and brought to the ER. Read more…
Our winner is the illustrious ablumenberg! For the initial presentation, see here. In brief, we have a gorilla of an acid-base question with pertinent history including a history of diabetes and alcohol abuse. This one’s a little long, so put on your focus hat. VBG: pH 7.3, PO2 102, PCO2 30, Read more…
It’s an eerily quiet morning in the ED when in comes a vomiting patient… The (Made-Up) Case 48 year old M, pmhx DM, chronic/heavy drinker, presents with 4 days of NBNB vomiting. He hasn’t taken his diabetes medication during this time either. Denies abdominal surgeries, fevers, diarrhea, constipation, blood in Read more…
Want to re-read the case before checking out the answer? See it here The Answer Back To Fun Med School Pathophys Two centers of language are Broca’s area and Wernicke’s area. To put it simply, Wernicke’s is responsible for organizing speech into a coherent product while Broca’s is Read more…
This is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see The Case… It’s 4 AM and the ER is starting to be an even split between etoh intox, fast track’ers (5 weeks of leg dizziness?), and the usual Read more…
Thanks for the variety of responses. The winner of course is ablumenberg thanks to his thorough differential diagnosis. The Case In short, we have a 54 yo male with ptosis x 2 weeks and no other symptoms or complaints. By Andrew Read more…
This is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see 54 yo male, past medical history HTN, sent by his primary doctor to the ED for “rule out stroke”. He is complaining that his left upper eye Read more…