It’s the end of a long shift in the ED, and you are daydreaming about the cold alcoholic beverage waiting for you to start off your golden weekend, when the nurse comes up to you and states there is a young woman in triage who she wants you to take Read more…
By Surriya Ahmad and Kylie Birnbaum It’s a busy night in the Springfield ED. You’ve just treated Lisa for a pneumothorax after she played her sax too hard, and you’ve treated her brother Bart for a laceration from skating too hard. You also treated Mr. Burns for narcissistic personality disorder! 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: A 77 year-old male h/o asthma, HTN, HLD, recently diagnosed CML presents with pain to recent bone marrow biopsy site and right lower extremity pain such that he cannot walk since last night. He also c/o nausea with few episodes of NBNB vomiting. He was prescribed imatinib but has not started Read more…
Cellulitis is commonly diagnosed and treated in the Emergency Department ED) with considerable variation in treatment and disposition patterns. These patients may be: Given a dose of intravenous (IV) antibiotics before discharge home Placed in observation unit for IV antibiotics before transitioning to oral medications prior to discharge Discharged with Read more…
Here’s Dr. Freedman with today’s Morning Report! The LGIB Toolbox Why? Tools for diagnosis and therapy are limited. NG Lavage stinks. RBC Scan not an ED test Colonoscopy has not been shown to be useful. Stable, Prepped and not hemorrhaging? No clinical difference btwn emergent and delayed5,6 Read more…
Dr. Mehta presents today’s Morning Report!
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…
Today’s Morning Report is presented by Dr. Aldokhi! My Butt Hurts (Procidentia) Case: 79 year old female with abdominal pain Definition Full-thickness intussusception of the rectum through the anus Epidemiology Bimodal age distribution (extreme of age) Causes Children <3 increased abdominal pressure (constipation, chronic diarrhea) – Read more…
Thanks to Dr. Kincade for presenting today’s Morning Report! Esophageal Varices Esophageal varices are dilated veins within the wall of the esophagus, usually at the distal end Epidemiology -50% of patients with cirrhosis; 25% to 35% variceal rupture within 2 years of diagnosis. -Greatest risk of rupture in Read more…