We had three wonderful answers to last month’s COTM, but Dr. Segarra’s comprehensive response takes the cake. For a complete review of the case, please click here. Just to recap: 50-year-old woman with DM2, HTN, GERD, recently completed 6 months of TB therapy, presented with abdominal pain, N/V, Read more…
After a two-month hiatus, Case of the Month returns! Get your thinking caps on for July’s Edition… The patient is a 50-year-old woman with a previous history of type II diabetes, and recently completed a 6-month course of treatment for tuberculosis, presenting with 5-6 days of worsening lower 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…
Dr. Freedman is back with Part 2 of his Morning Report! Part 2: Quick Case: A 32 year-old gentleman, with no past medical history, presents with “I can’t move my legs.” Serum potassium = 1.4mmol/L. Diagnosis: Hypokalemic Periodic Paralysis Background: The periodic paralyses are a family of Read more…
Thanks to Dr. Freedman for today’s Morning Report! Part 1: ECG Findings of Hypokalemia First some definitions: Mild: K < 3.5 mmol/L Moderate: K < 3.0 Severe: K < 2.5 ECG Changes: Typically appear at ~2.7 Increased amplitude and duration of P wave PR prolongation T wave Read more…
Here’s Dr. Aldokhi with today’s Morning Report! AG Acidosis Case 1 HX 29 YOM no PMH , sent from CPEP for abnormal labs, patient has unspecified psychosis, no etoh, no drugs Px Vitals normal, dry MM, flat affect rest of exam within normal. labs CBC 12.5>15.5/46<318 CMP 142/4/99/18/39/1.2<73 AG Read more…
Here’s Dr. Nordstrom with today’s Morning Report! The Case: 69 M with history of HTN and DM presents with 1 day of nausea and vomiting. Pt says he woke up in the morning and after breakfast started feeling dizzy and lightheaded. Vomited 10+ times until he came into ER. Denied Read more…
Here’s Dr. Freedman with today’s Morning Report! Delta Force An approach to the possibly complicated metabolic acidosis 1st What’s primary? Compensation is alright, but its never enough Ph? What’s the respiratory system doing? 2nd Gapped or non-gapped? Normal AG? Gapped MUDPILES But what are they really? Left Total Read more…
Today’s Morning Report is presented by Dr. Berzon! Magnesium • Balance is a a function of intake and excretion (360 mg intake) • GI excretion usually stable • Kidney is main regulator • Excretion in loop of Henle mainly passive • Decreased absorption can be induced by diuretic Read more…