Co-Authors: Esteban Davila, Hemil Chauhan This is part 2 of a 2-part series focusing on BRASH. Part 1 can be found here. Patient Presentation A 70-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (baseline creatinine 2-3 mg/dL) is brought in by EMS after being Read more…
Co-Authors: Camilo Galeano Londono, Esteban Davila This is part 1 of a 2-part series focusing on BRASH Syndrome The little black phone in the Cardiac Care Unit (CCU) room rings. The cardiology fellow is on the other end of the line informing you of a new admission. The patient is 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…
In a previous post, I presented a case of Takotsubo non-ischemic cardiomyopathy that met “STEMI” criteria and was diagnosed by angiography. Let’s take a moment to discuss some other non-ischemic cause of ST elevation, otherwise known as “STEMI mimics.” 1) Benign Early Repolarization and Left Ventricular Hypertrophy ST-elevation does Read more…
It’s intern year and you’re on nights in the MICU. You’re always a little bit out of your element when not in the ED. Tonight you get sign out on an older lady with afib and CHF presenting for AMS, being followed by neuro and on BiPAP and critically ill 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…
A 67-year-old man with history of COPD, HIV (CD4 50), peripheral vascular disease, DVT, and chronic renal failure presented to the ED with AMS and dyspnea after missing one dialysis session due to a transportation issue. His home attendant found him at home confused and called EMS. She reported that there was no Read more…
This block’s EM-CCM was a fantastic review of a commonly seen problem at its extreme. For the sake of brevity we will review: Renal failure associated metabolic derangements Indications for urgent dialysis Treatment of hyperkalemia- this is our bread and butter To bicarb or not to bicarb Not all troponinemia Read more…