Brought to by Dr. Andrew Grock and Dr. Carl Alsup Dr. Moran’s Lecture Pt presents with mid-dilated non-reactive pupil. He has? Dr. Nguyen’s Lecture Case presentation for irregularly irregular tachycardia at a rate of 150. Diagnosis: atrial fibrillation. Rate control preferred over rhythm control unless patient < Read more…
By Dr. Kelly Maurelus. Hey Folks, I am bringing you the Ultrasound image of the month or in this case video of the month…take a moment and review the media (click play as many times as you want) to come up with the diagnosis. US Video! What is Read more…
Brought to you by Dr. Andrew Grock and Dr. Carl Alsup Special Thanks to our Grand Rounds Speaker, Dr. Christopher Doty. Peds Case Conference, by Dr. Francis Youn Neutropenic Fever – ANC = WBC (in thousands) cells/mcL * [(neutrophil % + band %)/100] – ANC < 1500 (and definitely Read more…
Brought to you by Dr Andrew Grock and Dr. Elizabeth Abram. Supervised by Dr Martindale. A nurse brings you the following EKG to sign. You go to the patient’s bedside: 63 yo F, pmhx dm/htn, here for epigastric pain, vomiting, dizziness x 4 hours. She is diaphoretic and reporting active pain Read more…
By Dr. Andrew Grock and Dr. Sally Bogoch 1. Febrile Neutropenia 2. Febrile Neutropenia is defined by having fever…and neutropenia. 2a fever is one temp >38.3 C (101.3F) or one hour with temp >38C (100.4F). 2b Neutropenia is defined as an ANC (absolute neutrophil count) < 500 and is calculated Read more…
Brought to you by Andrew Grock and Sally Bogoch 85 yo F with Leukemia on chemotherapy presents with fever of 102F at home. Denies all other complaints. HR 102, RR 15, BP 120/80, Oral Temp 100.8, O2 Sat 100% on RA. Lactate 0.3 WBC 8, H/H 10/30 (at baseline), plt 240 Read more…
“Exam room 3 is a sign out, 23 yo F, here for nausea, found to be pregnant. US shows IUP, good heart rate. No VB, has outside PMD. Got Zofran, tolerating PO. No urinary complaints, but we are waiting for her to give urine for the Urinalysis (UA). Discharge with Read more…
CCT 4 AM. Trauma Note – GSW to abdomen. On arrival, wound to RUQ, another to L flank. HR 130s, BP 70s/40s. The CCT junior throws in two 14 gauge peripheral IVs, and attaches the trauma lines. Two liters NS go in in minutes. BP comes up to 100s/60s. FAST Read more…
The Case 75 yo female, multiple medical problems presents with subjective fever/cough for 2 days. Work-up shows – nml VS, lactate 1 and left lower lobe infiltrate. Unfortunately she’s CURB-65 of 2 (age and BUN) with PORT score of 95. More importantly she lives by herself and doesn’t seem altogether Read more…
We’ve all been there – the 89 yo with cancer you want to admit for pneumonia who doesn’t want to spend another precious day in the hospital…the NSTEMI that has to sign out AMA to stop his car from getting towed…the stab victim that insists on leaving CCT at 3 Read more…