Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Today’s morning report is courtesy of Dr. Cioe. Here’s the case: A 3 year old female presents to ED with 3 day history of vomiting, throat pain, abdominal pain. On exam, the patient is febrile, tachycardic, and ill appearing. The patient has a clear pharynx, but pain on swallowing. A Read more…
Thanks to Dr. Nadir for today’s Morning Report (originally presented on 4/20/2012)! 76 year old male with hx of emphysema presents with slowly progressive SOB, over the last 10 days. VS: HR 110, RR 28, O2 sats 93%, BP 110/76. Exam reveals decreased BS over the left lung field. US and Read more…
Here’s Dr. Caputo with a Morning Report on lower extremity nerve blocks: MASTERING NERVE BLOCKS OF THE LEG 1)KNOW THE 2 MAIN NERVES GOING INTO LEG: FEMORAL AND SCIATIC 2)FEMORAL NERVE: HIP, ANTERIOR THIGH, QUADRACEPS, AND HAS SAPHENOUS NERVE BRANCH 3)TIBIAL AND COMMON FIBULAR ARE BRANCHES OF SCIATIC Read more…
Thanks to Dr. Lau for today’s Morning Report (presented on 4/13/2012)! Here’s the case: 26 day old female brought in by mother for increased crying and fussiness Vitals normal: T 98.9, RR 44, HR 130, BP normal PMH: NICU stay until 6 days ago – ex-35 weeker on methadone Read more…
Dr. Kazzi presents some clinical pearls about preoxygenation for today’s Morning Report (originally presented 4/10/2012): Preoxygenation Physiology of Preoxygenation: Preoxygenation extends the duration of safe apnea (defined as the time until a patient reaches a saturation level of 88-90%) Below 88% patients are on steep decline of O2 saturation curves Read more…
Today’s Morning Report is courtesy of Dr. Melendez (presented 4/12/2012). Follow the along and think about how you would handle this scary presentation. A mother brings her 9 day old infant in because “she has not urinated in the past 12 hours and she is very sleepy”. VS: BP70/30, Read more…
Thanks to Dr. Guy for today’s Morning Report (presented on 4/9/2012)! Central Retinal Artery Occlusion Epidemiology: 55% mortality rate over 9 years 2% bilateral involvement mean age 62 Pathophysiology: emboli in retinal artery/ branches ophthalmic artery from intraorbital branch of internal carotid artery ischemia and edema irreversible cell injury Read more…
Today’s Morning Report is thanks to Dr. Willis with some clinical pearls about strangulation/hanging injuries: Strangulation / Hanging injuries Mortality: Death from injury to spinal cord or brainstem, mechanical constriction of neck structures, bradycardic cardiac arrest (carotid sinus stimulation and increased vagal tone) Types: Complete –> feet Read more…
Thanks to Dr. Brothers for putting together today’s morning report (which was presented on 4/2/2012)! Here’s the case: 35 yo F history gastric bypass surgery 7 years ago presents with severe epigastric pain. Denies N/V/D. Has been constipated for past 2 weeks, hasn’t been taking her bowel regimen for past Read more…
CYANIDE POISONING Sources Ingestion – chemists, photographers, jewelers, lab techs have access to cyanide salts Smoke inhalation – release of cyanide from combustion of wool, silk, synthetic rubber Occupational exposure – many industrial processes involve CN (jewelers, mining, fumigation, photography) Medicinal sources – nitroprusside Food sources – pits of apricots, Read more…