Courtesy of Dr. Johnson Case 1: A 4-year-old presents to the pediatric ED with 4 days of fevers, sore throat, and decreased PO intake. The patient’s older sister recently had a sore throat with fever and was diagnosed with strep throat based on culture. On examination, the patient is febrile Read more…
Author: Robby Allen, MD Edited by: Eden Kim MD, Roshanak Benabbas MD Acknowledgments: Michael Lucchesi MD, Aleksandr Gleyzer MD Our “EM controversies” lecture series continued with a faculty showdown: Dr. Lucchesi versus Dr. Gleyzer. Watch the debate here. Their Challenge? Antibiotics for nasal packing. What does the evidence say? Read more…
By Yanmen Yang, PharmD What is tranexamic acid? Tranexamic acid (TXA) is an antifibrinolytic agent approved by the Food and Drug Administration in December 1996 as an intravenous injection to reduce hemorrhage during tooth extractions and as an oral tablet in November 2009 for heavy menstrual cycles.1,2 Since then, Read more…
Case: 44 year-old female gets wheeled into the critical care area in respiratory distress. Through gasping breaths of inspiratory stridor, she says this started one hour ago while at home, mentioning she was getting “aggravated” with her husband. Her husband endorses that this has happened before in similar situations. She Read more…
It’s another long night in pod A, but luckily there is a break in the unending stream of patients. You head to your favorite green delicatessen and feeling adventurous, you pick up a bag of sour candy. So sour! Your brain instantly flashes back to the last time you prescribed sour candy as your memory-sensory axonal connections are triggered. The image of that 45 year-old man with 5 days of recurrent pain in the lower right of the mouth that was worse with eating is as clear as day. Who knew candy can be medicine? (more…)
Here’s Dr. Wang with today’s Morning Report! Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus has three areas of narrowing where foreign bodies are most likely to become entrapped upper esophageal sphincter (UES) crossover of the aorta lower esophageal sphincter (LES) certain Read more…
Here’s Dr. Adal with today’s Morning Report! Peritonsillar Abscess Differential Diagnosis: Tonsillitis, Pharyngitis, Epiglottitis, Paratonsillar Cellulitis, PTA, RPA, PPA, Diptheria, Ludwigs angina, Uvulitis, Mononucleosis, Acute HIV, Carotid Aneurysm. Epidemiology: Most common deep space infection of the neck. Young adults in winter and early spring. Pathogenesis: Polymicrobial Read more…
Here’s Dr. Alsup with today’s Morning Report! Eye Infections Orbital septum -Connective tissue extension of the orbital periosteum -Extends into the upper and lower eyelids Periorbital / Preseptal Average age: 2 yo Result of local trauma, including insect bites Spread from contiguous structures, as in conjunctivitis, hordeolum, Read more…
Thanks to Dr. Louis for today’s Morning Report! Ludwig’s Angina Definition: Progressive cellulitis of the connective tissues of the floor of the mouth and neck beginning in the submandibular space. Prognosis: Prior to antibiotics and airway adjuncts mortality was greater than 50%. Today estimated mortality about 8% Read more…
Here’s Dr. Caputo with today’s Morning Report! Mastering the Tympanic Membrane Normal Anatomy: Acute Otitis Media: Highest risk 2 months – 6 years. Acute inflammation and effusion of the middle ear. Otoscopy should focus on color, position, translucency, and mobility of the TM. AOM causes the TM to Read more…