Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Here’s Dr. Basile with today’s Morning Report! Case: 60 yo female with pmh of htn, ESRD on HD presents as notification for syncope and hypotension. BP of 75/40, HR of 45. Afebrile Rectally. Bedside sono, no large pericardial effusion. Calcium Channel Blocker Toxicity Epidemiology: – In 1986: Read more…
Thanks to Dr. Martinez for today’s Morning Report! CASE: 26 y/o M recently immigrated from Haiti p/w AMS after episode of whole body shaking. Per mom, he is not responsive. He was well until this morning with no complaints except for a cough x months. He was given an Read more…
Here’s Dr. McMillan with today’s Morning Report! Ketamine Pearl – Laryngospasm
Today’s Morning Report is courtesy of Dr. Grock! Case: 64 yo male PMH of DM/HTN/prostate ca s/p RT presents with fever. Important questions? TRAVEL HISTORY!!!!! Fever pattern, other symptoms… ROS: neck stiffness and recently returned from West Africa (Liberia). PE: tachycardia to 100s, febrile orally to 103, Read more…
Thanks to Dr. Bradby for today’s Morning Report! Stroke in Sickle Cell Disease Neurological and Hematological Emergency 24% of sickle cell disease patients have a stroke by the age of 45 years these people have an increased risk of secondary stroke 2-3 years after initial CVA (recurrence rate of Read more…
Here’s Dr. Youn with today’s Morning Report! Lateral Canthotomy/Cantholysis Emergent concern: retinal ischemia, optic nerve compression Indications: Acute orbital compartment syndrome – usually 2/2 traumatic retrobulbar hemorrhage Decreased visual acuity IOP > 40 mmHg (normal range: 10-20) Proptosis APD Contraindication: Globe rupture (teardrop pupil, positive Seidel Read more…
Thanks to Dr. Waldman for today’s Morning Report! PERI-PARTUM CARDIOMYOPATHY (PPCM) Case: 35 yo F G1P1 no PMH presents 5 days s/p c-section for arrest of delivery comes ℅ BLE edema for the last 2 days a/w SOB. Pt denies the presence of edema during her pregnancy or Read more…
Dr. Kong presents today’s Morning Report! Ketofol What is it? A mixture of Ketamine and Propofol used for sedation Why is it better than Ketamine or Propofol alone? 1. In theory, use of medications together produce rapid (Propofol), consistent (Ketamine) sedation with maintenance of blood pressure (Ketamine), Read more…
Thanks to Dr. Grock for today’s Morning Report! The case: 20 yo male no pmhx, presents with pleuritic chest pain, dizziness, and worsening DOE x 3 days (class IV). No fevers, no toxic habits, no travel/sx/immobilizations/hx dvt or pe. VS: tachycardic to 110s (up to 130s with minimal exertion), Read more…
Here’s Dr. Adal with today’s Morning Report! Differential diagnosis for generalized weakness Neuromuscular (UMN and LMN) Amyotrophic Lateral Sclerosis: Degeneration of the motor neuron Botulism: Toxin prevents release of Ach at neuromuscular junction Ciguatoxin: Toxin causes cell membrane excitability and instability Cord compression Cord infarction CVA: Ischemic Read more…