EM Principles
Too Scary a Case to be Bored Review 4/7/15
Believe it or not, someone presents to your ER with chest pain! . By Dr. Andrew Grock and Dr. Sally Bogoch References Rivers uptodate.com
Case of the Month
Case if the Month #10, Answer
Kudos to dzeccola for an accurate, succinct, and incredibly prompt answer to this clinical conundrum. To review: We have a 49 year old man with pain on/inability to flex the right hip with concomitant fever and weight loss. By Dr. Andrew Kopping and Dr. Read more…
EM Principles
Cardiology is too Interesting to be Bored Review 3/31/15
A 33 year old man presents with chest pain and mild shortness of breath, progressively worsening over the last two days – sharp, sternal, worse on inspiration/lying flat, no radiation, better with sitting up. ROS + for URI 8 days ago. CXR: unremarkable ECG: T wave flattening and T wave Read more…
Case of the Month
Case of the Month #10, Presentation
The Case: A 49 year old man without any past medical history presents with R hip pain for 2 months. The pain is nonradiating, worse with flexion of the R hip, walking, or bending forward. Over the past month, he reports occasional night sweats, increased fatigue, 10lbs of unintentional Read more…
EM Principles
Learning to never be Bored Review 3/24/15
An EMS note arrives – an obese 60 year old F with a history of the sugar, the pressure, and a “stomach problem…called digestive heart failure”. VS: HR 120s, RR 40s, O2sat 88% on NRB, BP SEE BELOW. PE diaphorectic, Crackles all the way up the back. Name the diagnosis Read more…
EM Principles
Bored because you aced the inservice review
All is quiet in your imaginary ED when a commotion rings in from the hallway. In comes in a very gravid patient making lots of groans, moans, and curses. She reports she has no medical problems, is full term, and started having contractions earlier that day. On your exam, you Read more…
Case of the Month
Case of the Month #9, Answer
This month’s winner is the one and only ablumenberg, whose intimidatingly thorough answer frightened off all other contenders. Recap Older lady, many medical problems, here for epigastric discomfort now with acute decompensation as evidenced by her tachycardia and diaphoresis while in your imaginary ED. Read more…
Case of the Month
Case of the Month #9, Presentation
A 58 year old woman with a long medical history – paroxysmal afib, not on anticoagulation, hyperthyroidism secondary to graves disease, and GERD who presents for the third ED visit in 1 month for epigastric pain. At her first visit, she improved after a GI cocktail, had a normal ECG/CXR/labs, and was Read more…
Ultrasound and Radiology
More Ultrasound, Less Cowbell
By Dr. Michelle DiMare These days, the Pediatric ED is frequently filled with the cutest, most snot filled kids you’ve ever seen. With most of them reporting some degree of cough and fever, pneumonia is frequently considered on our differential diagnosis. While the incidence of CAP in developed countries is Read more…
EM Principles
THE INSERVICE IS TOMORROW Bored Review!
You see an 18 year old basketball phenom who stands a mere 6’11” tall. He complains of sudden onset chest pain lasting minutes after a deep inhalation that may or may have been related to marijuana use. On his chest x-ray, you see a “small” pneumothorax. By Read more…