An unknown young male makes his way into the critical care area of your emergency department on a boring night. He is minimally responsive and is breathing at a very slow rate. You look at his pupils, and they are pinpoint. You see track marks up and down his arms. Read more…
You’re working a peds shift when a concerned pair of parents brings their three year old child in with a swollen, red, warm bump on his forearm. They first noticed it yesterday, and it has progressively gotten larger. He’s not irritable, but his arm seems to be bothering him. You Read more…
46 year-old female with diabetes presents for sore throat and facial swelling for the past 3 – 4 days. Patient states she’s been experiencing difficulty with chewing due to pain. The patient also endorses tactile fevers. On exam, you notice multiple dental caries and submandibular swelling. Read more…
Cellulitis is commonly diagnosed and treated in the Emergency Department ED) with considerable variation in treatment and disposition patterns. These patients may be: Given a dose of intravenous (IV) antibiotics before discharge home Placed in observation unit for IV antibiotics before transitioning to oral medications prior to discharge Discharged with Read more…
You just finished a slow Peds shift during which you saw a whopping 3 patients – viral syndrome, viral syndrome, ibuprofen, PO challenge, and discharge. You feel a little underwhelmed. As you leave the hospital, you decide to call an Uber. A disheveled guy with white hair comes to 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…
Sepsis is no longer defined as SIRS + a suspected source but rather “life-threatening organ dysfunction due to a dysregulated host response to infection”. This is according to the new guidelines released by the Sepsis-3 task force in 2016. By creating this new definition, they shift the focus of sepsis Read more…
Presented by: Dr. Eris Cani / Summarized by: Dr. Sarah Jung / Reviewed by: Dr. Stanley Moy HAPPY 2016!!! Summary: Procalcitonin is a specific biomarker that can be useful for diagnosing bacterial infections Most evidence for PCT utilization is for patients with LRTI (rule-in or rule-out pneumonia) Read more…
Presented by: Dr. Jaime Moran Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan A guy walks into a bar and orders a drink. He syncopizes before taking his first sip. I know what you’re thinking and the answer is no, he didn’t pre-game (i.e. Read more…
Here’s Dr. Abram with today’s Morning Report! Infectious Endocarditis – infection of endothelium of heart, valves, septal defect. Generally fatal without treatment, leading to valvular insufficiency, congestive heart failure and myocardial abscess. 20% from rheumatic heart disease. 6% of those with rheumatic dz get IE. 50% elderly have calcific aortic stenosis. Read more…