Kings County Hospital | SUNY Downstate Emergency Medicine Resident
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Patellar Dislocation By: Juliana Jaramillo, MD PGY2 Case: 24 year-old female presents with right knee pain after slipping on ice. Her right leg got caught and twisted, and she felt as if something came out of place. She is unable to extend at the knee. Upon evaluation of patient you Read more…
ED Management of Hypercalcemia of Malignancy Hypercalcemia in the ED is often times an incidental finding. The clinical presentation, management and treatment of hypercalcemia as it specifically relates to malignancy will be discussed here. Workup of hypercalcemia When considering the diagnosis of hypercalcemia, it is important to understand calcium’s distribution Read more…
The Case 23 year-old man s/p treatment for primary syphilis at an outside clinic about 6 weeks ago presents to fast track with worsening joint pain and swelling x 1 month. Symptoms started shortly after receiving the penicillin treatment; he had one day of fever (now resolved). He reports being Read more…
Diagnosis: PE Is he discharged yet? Written by Dr. Ferrari, Edited by Dr. deSouza Case: 44 year-old man with PMH of PE 5 years ago presents with shortness of breath and chest pain x 2 days. It started the day after returning from California by plane. It is worse with Read more…
By Dr. C. Sterling M.D. Pathophysiology of Right Ventricular Failure The most common cause of pulmonary hypertension in the U.S. is left-sided heart failure, but many cases of pulmonary hypertension remain undocumented. Pulmonary arterial hypertension is a specific category of pulmonary hypertension and is a relatively rare disease. In the ED, we Read more…
Humanity in Medicine Book Review This is part of a new series where we will be reviewing medical humanities related books in a book club format. Feel free to chime in! Brain On Fire-My Month Of Madness By: Juliana Jaramillo, MD, PGY1 Edited: Teresa Y. Smith, MD, Read more…
When compared to IO access at the proximal tibia site, IO access at the humeral site may provide five times the flow rate. Positioning (3 options): 1. Place the patient’s arm in adduction and internal rotation with the hand resting on the umbilicus. 2. Place the patient’s arm in adduction Read more…
By Jaime Moran MD, PGY-3 Edited by Dr. deSouza Acromioclavicular joint dislocations: the “Separated” shoulder EPIDEMIOLOGY & MECHANISM OF INJURY 9-12% of shoulder girdle injuries More common in males Usually results as a direct blow to the shoulder; less commonly fall onto an outstretched arm. Most commonly falling onto the Read more…
Activated Charcoal (AC): To give or not to give? By Dr. Ferrari (Reviewed by deSouza) History of Activated Charcoal 1831 French Academy of Medicine: Tovery takes AC with a lethal dose of strychnine without symptoms 1960s, review article in Journal of Pediatrics, popularizes its use Standard at this time was Read more…
The anion gap is a calculated measure. It is used to help determine metabolic causes of acidosis and can suggest underlying pathology in an undifferentiated patient. The full formula for calculating an anion gap is: ([Na+] + [K+]) − ([Cl-] + [HCO3−]) = 16 mEq/L This is frequently shortened to: Read more…