Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Here’s Dr. Nordstrom presenting today’s Morning Report! Case: 47 y.o male with history of EtOH abuse, presents with vomiting. VS: 97/52, HR 123 RR 24, Os Sat 98%. On exam the patient has a mildly distended abdomen with multiple dilated veins and spider angiomas. During evalutation the patient vomits Read more…
Happy New Year everyone! Morning Report is back with Dr. Paulson presenting the first edition of 2014! Hypothermia: From the sunny beaches and 80degree weather in SoCal, to the frigid wasteland that is our beloved Brooklyn… Skin temp can go down to 90 in cold weather, and down to Read more…
Thanks to Dr. Shin for a very timely Morning Report! Carbon Monoxide Toxicity Carbon Monoxide: Colorless and odorless and created by incomplete combustion Common sources are automobile exhaust, coal, wood or kerosene stoves Pathophysiology: CO binds reversibly to hemoglobin 230-270x that of oxygen causing functional anemia Half Read more…
Here’s a Friday the 13th edition of Morning Report presented by Dr. Waldman! The Case: 42 yo F hx of asthma, heavy smoker p/w 3 days of wheezing and SOB. Pt had been admitted for asthma in the past but never intubated. Albuterol and ipratropium were not helping at Read more…
Thanks to Dr. Lewis for today’s Morning Report! Coumadin-induced Coagulopathy Coumadin Antithrombic effect: blocks activation of vitamin K → interferes with hepatic carboxylation of coagulation factors II, VII, IX and X → impairs the extrinsic and common pathway Prothrombic effect: Blocks activation of protein C and S Circulating Read more…
Thanks to Dr. Louis for today’s Morning Report! Hypercalcemia Definitions: – The normal reference range of serum calcium levels in adults is 8.7-10.4 mg/dL – Mild hypercalcemia is 10.5 – 11.9 mg/dL – Moderate hypercalcemia is 12.0-13.9 mg/dL – Severe hypercalcemia is > 14.0 mg/dL Epidemiology: -Primary Read more…
Today’s Morning Report is presented by Dr. Freedman! The Case: Left Ventricular Hypertrophy Definition: increased mass of the left ventricle How?: Things that cause increased afterload HTN Aortic Stenosis Coarctation Genetics HCOM Volume Overload? Mitral Regurg Aortic Regurg Why do we care? risk of development of CAD risk Read more…
Hope everyone had a happy Thanksgiving holiday weekend! Dr. Adal is back today with Morning Report! Priapism Definition A persistent erection of the penis or clitoris that is not associated with sexual stimulation or desire. Epidemiology Incidence of 0.73 per 100,000 men each yr. Has a bimodal Read more…
Thanks to Dr. LoCascio for today’s Morning Report! Out-of-Hospital Cardiac Arrest AMA Council on Ethical and Judicial Affairs states that CPR may be withheld, even if requested, “when efforts to resuscitate a patient are judged by the treating physician to be futile.” ACEP “physicians are under no ethical Read more…