Author: Shane Solger, MD Editor: Nicole Anthony, MD When patients come to us for help, they put themselves in a position of vulnerability. They need something from us that they cannot provide for themselves. If a person with limited English proficiency (LEP) comes into the ED, they are disempowered for Read more…
Author: Nivedita Poola Peer Editors: Alec Feuerbach and Nicole Anthony Faculty Editor: Mark Silverberg Case A 72-year-old female with a past medical history of hypertension, hyperlipidemia, asthma, CVA with residual right sided weakness and aphasia was admitted to the hospital from subacute rehabilitation after a recent subacute infarct. Read more…
Author: Allison Lee, MD Images obtained by: John Kilpatrick, MD CASE A 60-year-old woman is being evaluated in the Emergency Department for hypotension and hyperglycemia. She receives 3 liters of fluids without improvement followed by a left internal jugular central venous catheter and vasopressors. At change of shift, the new team Read more…
Author: Malithi Navarathna Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Reviewer: Mark Silverberg A 24-year-old female with a past medical history of obesity and a “heart problem” during childhood presents to the ED complaining of palpitations and chest pain for one week. What is your analysis of this ECG? Read more…
Authors: Taylor Douglas; Naomi Rebollo Rodriguez Edited by: Nicole Anthony; Wesley Chan Many patients present to the Emergency Department (ED) with the chief complaint of shortness of breath. There are myriad causes and extensive treatments available. However, what about the patient who has dyspnea because they have a terminal illness Read more…
Author: Karen Jeoffroy Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Editor: Mark Silverberg Case A 75-year-old male with a history of hypertension, diabetes, hyperlipidemia, and coronary artery disease (on aspirin and clopidogrel) presents to the Emergency Department (ED) four hours after an episode of left-sided, non-radiating chest pain with associated Read more…
Authors: Allison Lee, MD and Nicole Anthony, MD Out of the several right upper quadrant (RUQ) FAST views obtained over the past month at KCHC, which RUQ view was positive for free fluid? #2. As the sonographer fans through the area, a small stripe of free fluid (FF) can be Read more…
FAST Views Authors: Allison Lee, MD, Nicole Anthony, MD Question: Below are several right upper quadrant (RUQ) views obtained from unique Focused Assessment with Sonography in Trauma (FAST) exams over the past month at KCHC. Which RUQ view is positive for free fluid? 1 ____________________________________________ 2 ____________________________________________ 3 ____________________________________________ 4 Read more…
Author: Alec Feuerbach Peer Reviewers: Trevor Cerbini, Nicole Anthony Faculty Reviewer: Scott Kendall Two years ago, Dr. Trevor Cerbini wrote an excellent post for this blog highlighting the basics – and beauty – of buprenorphine (bupe). He highlighted the staggering mortality of Opioid Use Disorder (OUD), explaining that 5.5% Read more…
Author: Zachary Moore Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Editor: Mark Silverberg It is just another night at University Hospital of Brooklyn when a 70-year-old female with a past medical history of hypertension, hyperlipidemia, COPD, and hypothyroidism comes in with altered mental status for the past few hours. Read more…