You’re sitting in the peds ED, and just about done with the 10th URI you’ve seen all day. You’ve got the sniffles from those cute coughing babies, and you’ve been getting through the day on just those “free” pedialyte icee’s and apple juice, so you’re a bit delirious. You start Read more…
A 21 year-old male presents to your ED with complaints of fever, rash, and generalized malaise. His triage vitals are HR 112, BP 95/55, RR 22, POx 98%, T 102.3F. When you go into the room to exam him, you notice a tampon in his right naris. When you ask 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…
Happy Holidays from Bored Review! This week’s post is so exciting it will make you shed… It’s New Years Day and your first patient of the new year is a 45yo man with no significant prior PMH. However, it’s his third visit to your ED in the last month. On his first 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…
Today’s Morning Report is presented by Dr. Peralta!
Presented by: Dr. Andrew Nguyen Summarized by: Dr. Wendy Chan Reviewed by: Dr. Ian deSouza The Fictitious Case: 81 y/o F with PMH HTN, DM, CVA, afib, CAD, and recent hospitalization presents with 1 week of generalized weakness, nausea w/o vomiting, and pain to left toes with swelling and discoloration. Read more…
This month’s critical care mini-fellowship discussion was about the article, “Timing of Vasopressors in Septic Shock” as well as a review of the recent PROCESS, ARISE and PROMISE trials. Overall mortality rates in septic shock improved significantly from the 1990s to 2012 which coincides with several changes of practice including the Surviving Sepsis Campaign Read more…
Here’s Dr. Bart with today’s Morning Report! Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) PRESENTATION: Typical onset 26 weeks (within 2 months) Most common inciting drugs: Aromatic Anticonvulsants: Phenytoin, phenobarbital, allopurinol, sulfa NSAIDS, antiretroviral medications, ACE inhibitors, calcium channel blockers, antibiotics Fever and rash then systemic symptoms Read more…
That anterior epistaxis had to be packed and you did what you were told and gave the Abx. Did you help or harm that patient by giving the meds? Let us see what the data in the big world says….