Get your thinking caps ready folks, for it’s time for the newest edition of Case of the Month. The patient is a 28-year-old man with a history of SLE complicated by lupus nephritis, who presents with pressure-like mid-back pain since last night. He experienced no relief with oral Read more…
Who remembers the brainstem in medical school? You vaguely remember pictures like the one to the right that made you want to adopt a pug? Well, stick with me and let’s learn a system for the brainstem. I promise I won’t use the word Wallenberg. Clinical Scenario: Called to triage Read more…
It’s a perfect sunny day in San Diego, and Ron Burgundy is about to broadcast another episode of his highest rated (local) news show. Little does the public know that Ron suffers from hydrocephalus and has a ventriculoperitoneal (VP) shunt. While on air, he becomes altered, sleepy, and garbles his speech Read more…
In summary, you have a 40 year old woman presenting with neuro complaint and a scary looking head CT scan. Click HERE for the original post.
It’s Saturday, the start of the weekend, and you go see your first patient, a 40 year-old woman whose chief complaint is “I can’t feel my face.” On further questioning, she tells you that the symptom started that morning when she awoke, and it’s never happened before. Her only history is Read more…
Congratulations to ablumenberg! While your answer wasn’t complete, you were the only one to submit an answer, so, you win money (or a gift card)! To recap: An 88 yo M on aspirin and PLAVIX is BIBEMS for headache and vomiting the day after falling out of his chair and bumping his Read more…
Willy Wonka is a 78 year-old dude with a history of BPH, HTN, and mild dementia, brought in from the Chocolate Factory Assisted Living for the Sweet & Elderly, with a golden ticket from EMS saying he’s been acting even weirder than usual and stopped walking on his own. Vital Read more…
It’s a typical busy Saturday night in the main ER, with your alcoholics and K2-smokers causing a ruckus, when you pick up a 32yo woman brought in by her friend for ‘acting strange.’ You think maybe she joined the K2-bandwagon of Brooklyn, but her friend adamantly denies any drug use, Read more…
Thanks to Dr. Corburn for presenting today’s Morning Report! Malignant MCA Syndrome Stats -Space occupying cerebral edema resulting after MCA stroke -Occurs in 10% of all strokes -About 13% of proximal MCA strokes experience severe cerebral edema Pathophysiology -Cytotoxic edema begins within hours of the stroke and Read more…