A 20 year-old man with no PMH presents to the ED after skateboarding injury. He states he was skateboarding around a construction site when he felt a sharp object cut the back of his right leg. Vitals are within normal limits. References: Karadshes,M. Achilles Tendon 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…
A 67-year-old man with history of COPD, HIV (CD4 50), peripheral vascular disease, DVT, and chronic renal failure presented to the ED with AMS and dyspnea after missing one dialysis session due to a transportation issue. His home attendant found him at home confused and called EMS. She reported that there was no Read more…
It’s another long night in pod A, but luckily there is a break in the unending stream of patients. You head to your favorite green delicatessen and feeling adventurous, you pick up a bag of sour candy. So sour! Your brain instantly flashes back to the last time you prescribed sour candy as your memory-sensory axonal connections are triggered. The image of that 45 year-old man with 5 days of recurrent pain in the lower right of the mouth that was worse with eating is as clear as day. Who knew candy can be medicine? (more…)
Who remembers the brainstem in medical school? You vaguely remember pictures like the one to the right that made you want to adopt a pug? Well, stick with me and let’s learn a system for the brainstem. I promise I won’t use the word Wallenberg. Clinical Scenario: Called to triage Read more…
Dr. Sinert graciously hosted Food & Journal this week at his outdoor courtyard in Brooklyn. Over barbecue and veggies, we spent the first half of the night discussing a new paper on syncope management and the second cheering Usain Bolt to a speedy Olympic victory with some choice cupcakes from a Read more…
You are sitting in the Critical Care area of your ED and the walk-in triage nurse approaches you with an ECG and a patient. She tells you he is a 60 year-old male with a PMH of cardiac stents presenting with 5 days of shortness of breath. At triage his Read more…
Welcome back. We’re going to continue reviewing common eye complaints. This time we’ll focus on the conjunctiva. Let’s quickly review. The conjunctiva is a thin, clear lining that covers the anterior portion of the eyes and eyelids. References: Walker, Richard A., and Srikar Adhikari. “Chapter 236. Read more…
It’s 8AM. You are done with your night shift. All you can think about is a toasted whole wheat bagel with cream cheese and hot cup of single origin, organically grown, locally brewed and roasted cup of coffee. As you are biking, two elderly bikers pass you in Read more…
You have just come home from an exhausting 12- (really 13) hour shift and left with the final two perpetual decisions residents must face before sleep:
Both choices are easy. As the water begins to boil for your ramen, you turn on Arrested Development and are greeted with your favorite never-nude, analyst and therapist – Tobias Funke. His blue legs reminds you of a DVT you saw earlier this month that seemed especially concerning…