A patient presents to Andy’s stupid fictional (but HIPAA compliant) hospital. He is an overweight 11 year old male who complains of hip pain and limp since minor fall 2 weeks ago. ROS o/w neg. VS wnl. PE with externally rotated leg with pain on abduction, flexion, and internal rotation. Read more…
It’s an eerily quiet morning in the ED when in comes a vomiting patient… The (Made-Up) Case 48 year old M, pmhx DM, chronic/heavy drinker, presents with 4 days of NBNB vomiting. He hasn’t taken his diabetes medication during this time either. Denies abdominal surgeries, fevers, diarrhea, constipation, blood in Read more…
It seems like only yesterday, I was writing about the silliness of some order set (link) with a one-click stop for amylase, lipase, and ketones. Now, for another. In some hospitals, a single, “cardiac markers” click orders troponin I and a CK with a reflex to CK-MB. Two tests in Read more…
We had some great discussion on the various papers for our Case-Based Learning Series. Thanks to Dr.’s Isaksen, Silverberg, and Gernsheimer for their wisdom and time. . . . From Dr. Hannah LoCascio’s Lecture 1. Brooklyn is a huge place with a diverse population and a broken healthcare system 2. Read more…
Welcome to the procedure block’s first Bored Review You are working in CCT at 3am when the patient arrives. Young man with multiple GSW’s to chest. You address his ABCs – he is not breathing and has no pulse. EMS swears he had VS before they took him out of Read more…
Want to re-read the case before checking out the answer? See it here The Answer Back To Fun Med School Pathophys Two centers of language are Broca’s area and Wernicke’s area. To put it simply, Wernicke’s is responsible for organizing speech into a coherent product while Broca’s is Read more…
This is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see The Case… It’s 4 AM and the ER is starting to be an even split between etoh intox, fast track’ers (5 weeks of leg dizziness?), and the usual Read more…
So you get this guy, 23 yo M with schizophrenia and depression brought to ED by Mom for “acting strange”. Mom reports a recent change in his psychiatric medication, but does not know the specifics. Patient is agitated and not responding to your questions appropriately VS: T 103.8, HR 120, Read more…
By Dr. Jacqueline Bober 4-year-old patient is BIB Grandma for not walking well. She states every time he tries to walk he cries. Physical Exam is noted for the rash below: References Kliegman RM, Stanton BF, et al. Nelson Textbook of Pediatrics. Read more…