Renal/Genitourinary

So Take Off All Yo’ Clothes: Exertional Heat Stroke Part 2

Author: Esteban DavilaPeer Editor: Alec FeuerbachIllustrations: Vincent Xiao This is a continuation of Part 1.Key Initial StepsABCs and Supportive CareLike any other resuscitation, attention should be primarily towards assessing the ABCs. Patients with impaired awareness, airway secretions, aspiration, worsening respiratory distress, or status epilepticus may require intubation.[1] However, attempts to aggressively Read more…

By estdavila17, ago

Its Getting Hot in Here: Exertional Heat Stroke – Part 1

Author: Esteban Davila Peer Editor: Alec Feuerbach The Case You’re having a relatively quiet morning when you hear EMS bringing in a patient. The patient is an 18-year-old male who collapsed on the route of a half marathon. You reflect that this day is particularly warm and humid. EMS reports Read more…

By estdavila17, ago

Not Too FAST: Which RUQ view is positive for free fluid?

FAST Views Authors: Allison Lee, MD, Nicole Anthony, MD Question: Below are several right upper quadrant (RUQ) views obtained from unique Focused Assessment with Sonography in Trauma (FAST) exams over the past month at KCHC. Which RUQ view is positive for free fluid? 1 ____________________________________________ 2 ____________________________________________ 3 ____________________________________________ 4 Read more…

By Marie J Murphy, MD MPH, ago

So Bored I Worked Out: Rhabdomyolysis

New year, new beginnings, and new resolve. A 31 year-old slightly overweight male visits the emergency department a week after New Years with a chief complaint of muscle soreness. He had recently attended a soulcycle session with his girlfriend as part of his new year’s resolution to lose some of his winter weight. The next day he was extremely sore (more than expected) and started to have dark urine (not expected). Our enthusiastic exerciser has rhabdomyolysis.

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By awong, ago