Residency Life
Wednesday Wrap Up
Welcome to Wednesday Wrap Up! Here is a summary of what we learned in conference today:
EM-Critical Care
Aortic Dissection
Thoracic Aortic Dissection A difficult to diagnose, uncommon, and potentially fatal condition: Emergency Medicine at its finest! Let’s talk about a patient we think see every day in the ED. A man comes in complaining of chest pain with elevated blood pressure of 200/90 upon triage. The ECG shows sinus Read more…
EM-Critical Care
Acute Cardiogenic Pulmonary Edema – A complete review of “flash” pulmonary edema
They were fine yesterday, now they’re drowning! “Flash” (acute) pulmonary edema is a common critical condition in the emergency department, and it can have multiple precipitating factors and etiologies. After evaluating for acute myocardial infarction, tachydysrhythmias, and valvular pathologies based on physical exam and ECG, the treatment for these Read more…
Pediatric EM Ultrasound and Radiology
Ultrasound for Ovarian Torsion
A 12 year-old female with no PMHx presents to the pediatric ED with acute-onset crampy and sharp left-sided pelvic pain. The pain started 3-4 hours earlier, associated with nausea but no vomiting or diarrhea. VS: HR 102, BP 110/86, T: 99.4 You note a non-toxic appearing girl in moderate distress due to Read more…
Ultrasound and Radiology
An Asymmetric Chest X-ray
A 65 year-old male presents with a worsening productive cough, shortness of breath, general malaise, and subjective fevers and chills for the past week. His PMHx includes HTN, CAD, and DM. He has a 30 pack-year smoking history. He has never been incarcerated, denies recent travel, has no known TB Read more…
Ultrasound and Radiology
Team Sono Chronicles: Ectopic Pregnancy
Written by: Dr. Randi Ozaki Team Sono recently had its first meeting, and it was a resounding success! We met up at Black Forrest Brooklyn for some beer, bratz and pretzels and discussed two papers about sonographic findings in ectopic pregnancy. Here is a brief summary of the two papers Read more…
Ultrasound and Radiology
PE or not PE, that is the question…
Written by Randi Ozaki …and probably one of the more annoying clinical questions that we’re faced with in the ED. PERC (pulmonary embolism rule-out criteria), D-dimer and Well’s criteria have been discussed ad nauseam, but the question I pose to you, is how does Read more…
Ultrasound and Radiology
Morning Report: Ocular Ultrasound
Here’s Dr. Brevil with today’s Morning Report! Ocular Ultrasound Since the anterior and posterior chambers of the eye contain vitreous fluid, the eye is an ideal acoustic window for ultrasound imaging Normal Anatomy: Iris separates lens and anterior chamber Retinal Detachment Atraumatic RD in 1/10,000 Presence of unilateral Read more…
Ultrasound and Radiology
Right on Target: A Petite Peds Piece on Pyloric Stenosis
Written by Dr. Michelle DiMare Welcome back! This month’s post is brought to you by my sudden increase in peds shifts and everyone’s favorite chief complaint: vomiting. While ultrasounding a tiny, crying, puking, squirmy patient can often seem like a daunting task, this post will hopefully help you hit your Read more…
Ultrasound and Radiology
US VS THEM: An Uncommon Finding in a Common Dx
Well that was unexpected… By Dr. Michelle DiMare Welcome back! This month’s post explores a common diagnosis with an uncommon complication. Or is it more common than we think?? In a fictional hospital nearby, a healthy 20 something year old female is seen for chest pain Read more…