Case Author: Ryan Pang, MD Editor: Philippe Ayres, MD A 72-year-old male with a past medical history of hypertension, diabetes, and hyperlipidemia presents to the ED with 3 months of chronic, progressively worsening swelling of his left arm. He also reports an inability to move his left arm and Read more…
Author: Shane Solger, MD Editor: Philippe Ayres, MD Case: A 5-year-old girl is brought to a Vermont Ski Clinic by her parents due to a two-week history of right knee pain with associated swelling. Despite a slight limp, the child has been able to walk and is otherwise acting like Read more…
“Sepsis Code to Resus 1.” Your charge nurse comes out of her office, “Doc, you know that’s the cardiac arrest patient right? They’re not febrile. Why are we ordering antibiotics?” Despite all the hoopla and controversy surrounding mandated CMS guidelines surrounding the Surviving Sepsis Campaign, there’s limited evidence that antibiotics Read more…
This article is reposted from The American Journal of Emergency Medicine. Introduction The coronavirus disease 2019 (COVID-19) pandemic has caused a total of nearly 300,000 deaths worldwide [1]. Pediatric patients PCR-postive for SARS-CoV-2 present differently than adults with 40% either asymptomatic or with URI symptoms and commonly have pharyngeal erythema Read more…
Last Updated: 4/29/2020 By: Noah Berland MD, Andrea Greene MD, Suvam Neupane MD, and Julian Watson MD Reviewed By: Robert Allen MD and Monisha Dilip MD Introduction This post is meant to be an easily digestible and up-to-date article. The post is broken up into multiple parts, and we have Read more…
It is a quiet morning in the ED. I know it’s difficult to believe. The triage nurse rolls in a young patient who is screaming in pain. “Doc, doc, my n@&* are killing me!” You can’t help but start thinking about a differential diagnosis on your way to interview your Read more…
Emergency departments everywhere are dealing with a surge of patients due to the influenza pandemic. During a recent shift, you pick up your 6th triage complaint of “I have the flu.” You send the medical student to go see the patient, and she returns an hour later with an extensive 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…