Remember where we left off: you just spoke to a fifty-year-old woman describing severe, intermittent chest pain radiating to the back and left arm. You order aspirin and nitroglycerin, along with a troponin and you are now looking at her ECG: You note the rate is about 75 Read more…
Author: Robby Allen Edited by: Taylor Douglas and Eden Kim Case A 56-year-old male with PMH of hypertension, CHF, HIV, and obesity presents to the ED with a chief complaint of chest pain. He states the chest pain awoke him from sleep, radiates to the back and jaw, and began Read more…
Author: Alec Feuerbach MD Edited by Robby Allen MD (Thanks to Dr. Robby Allen for contributing this ECG) The Case: A 50-year-old woman with no history of cardiac disease presents with severe, intermittent chest pain radiating to the back and left arm with associated left arm numbness. She has Read more…
Written by Monisha Dilip Edited by Wesley Chan On 10/6/20, the Admin Mini-Fellowship convened to discuss Against Medical Advice (AMA) discharges. Discharges against medical advice (AMA) are often contentious and have unclear legal implications for the provider in the instance of a bad outcome. Using EMRA’s Administration and Operations committee’s Read more…
Collar Button Abscess Answer post to “Picture Blog: Hand Pain“ Diagnosis This patient has a collar button abscess with necrotizing fasciitis. A collar button abscess is an abscess of the interdigital web space. There is typically a recent history of trauma to the area, most likely a laceration or Read more…
A middle-aged man with a past medical history of poorly-controlled diabetes presents to the ED with three days of hand swelling, redness, and excruciating pain. 1. What is the diagnosis? 2. What are you especially concerned about in this patient? 3. What is the management? Image de-identified and in compliance Read more…
Cases written by Drs. Desai and Riggins Edited by Noah Berland and Robby Allen Case 1: A 35-year-old male with a history of bipolar disorder presents with nausea, vomiting and diarrhea 3 days after being started on lithium for the first time. He was started on sustained-release 300 mg qd, Read more…
Author: Calvin Tan Edited by: Wesley Chan Case: You are the lead physician in the medical tent at the finish line of a single-stage, 24-hour, self-supported, 100-mile race. The only on-course support consists of simple tents every 20 or so miles with first aid supplies and water to refill hydration Read more…
Written by Dr. Chris Hanuscin Edited by Dr. Wesley Chan Great teamwork by Drs. Jordan Dow, Chris Hanuscin, Paladino, Janairo, and Fan! Case: Notification: “This is FDNY calling in a 41-year-old female, 7 months pregnant with hypotension. BP 70/50, HR 89, ‘Satting’ 99% on RA. ETA 7 min.” We Read more…
Written by Matthew Behrens MD Reviewed by Sage Wiener MD Case: A 31-year-old man was brought in by EMS after passing out while getting off the bus. Prehospital vitals were: HR 145/min BP 97/53 mm Hg RR 16/min SpO2 96% on 15L NRB Blood Glucose 141 mg/dL EMS placed Read more…