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…
Author: Nicole Anthony, MD Peer Reviewer: Trevor Cerbini, MD In Part 1 of our 2-part series on hypoglycemia, Erroneous Blood Glucose Readings and Where To Find Them, we introduced the vignette of a patient in a shock state whose peripheral fingerstick reading would not respond to repeated dextrose administration. Now, Read more…
Images provided by Dr. Aherne Writers: Team Sono / Ultrasound Fellows Drs. Hanuscin and Lee Edited by: Dr. Murphy Case Background: An elderly male presented to the ED with left-sided chest pain after a mechanical fall one week prior. He did not complain of shortness of breath and only came Read more…
Estate planning. Those words may sound like something posh people do while sipping tea and playing croquet. In American legal terms, it takes on a more morbid meaning – planning for your death. More specifically, it means planning what happens to everything you own (your “estate”) after you die. If Read more…
PART I – Cyanide Poisoning (aka “Doc, it hurts right here” *points to mitochondria*) Authors: Trevor Cerbini, MD; Alec Feuerbach, MD, Peer reviewers: Nic Anthony, MD; Wesley Chan, MD Faculty reviewer: Sage Wiener, MD From apple seeds to false teeth, Tylenol, and cigarettes, salad bars to kool-aid, cyanide is Read more…
You’re a 30-year-old resident physician. You’ve decided that you no longer want to rent an apartment and that it makes more financial sense to become a homeowner. Congratulations! Owning a home is a big milestone! Except… you don’t have $80k saved up for a down payment…and you’re $300k in debt… Read more…
A gentleman presents to the emergency department as a notification for altered mental status. The first thing EMS tells you is that the patient’s blood sugar on scene was 28 mg/dL, so they gave him an amp of D50W with mild improvement in mental status. On your exam, however, the Read more…