Thanks to Dr. Coquillon for today’s Morning Report! Ascaris-induced intestinal obstruction Ascaris lumbricoides: Most common helminth (roundworm) infection in the world; usually in tropical countries with warm, wet climates Length: 1mm to 1m Occur in all age groups yet most common in children of preschool age (2-10) Transmitted through Read more…
Here’s Dr. Kendall with today’s Morning Report! ECZEMA HERPETICUM (Kaposi varicelliform eruption) Distinct cutaneous eruption caused by virus on existing dermatosis Virus (HSV-1, HSV-2, coxsackievirus A16, vaccinia virus) + Dermatosis (atopic dermatitis, seborrheic dermatitis, SLE, psoriasis, etc.) HSV + ATOPIC DERMATITIS (main combination) PATHOPHYSIOLOGY Cell Read more…
Thanks to Dr. Waldman for today’s Morning Report! Penile Fractures Definition: But there’s no bone… traumatic rupture of the corpus cavernosum Mechanism: Sudden blunt trauma or abrupt lateral bending of the penis in an erect state Breaks the markedly thinned and stiff tunica albuginea (during an erection Read more…
Burr Hole Craniostomy Mark H Wilson, David Wise, Gareth Davies and David Lockey. “Emergency burr holes: “How to do it” “Scand J Trauma Resusc Emerg Med. 2012; 20: 24. 1) Ensure indications are appropriate 2) Ensure patient is supine and physiologically optimised (intubated, ETCO2 4.5kPa, normotensive, c-spine protection, mannitol/hypertonic saline Read more…
Thanks to Dr. McMillan for today’s Morning Report! Here’s the Case: 21 year-old recently postpartum female presents with chief complaint of diffuse, red rash started shortly before calling EMS. Paramedic notes that she looks like anaphylaxis, but he didn’t give epinephrine due to no respiratory involvement. She is diffusely Read more…
Here’s Dr. Freedman with today’s Morning Report! Delta Force An approach to the possibly complicated metabolic acidosis 1st What’s primary? Compensation is alright, but its never enough Ph? What’s the respiratory system doing? 2nd Gapped or non-gapped? Normal AG? Gapped MUDPILES But what are they really? Left Total Read more…
EM-CCM Conference: February 2014 (Sorry posting this a little late!) Presented by Dr. Freedman Summary by Dr. Youn CASE: 84M with CAD (recent NSTEMI) on ASA and Clopidogrel, CHF, HTN, DM p/w 4 episodes of BRBPR with dizziness and SOB. Pt was hypotensive, tachycardic with pale conjunctiva and gross red Read more…
Welcome back to Morning Report! Today’s edition is presented by Dr. Alsup! Mammal bites Cat bites Deep puncture wounds, difficult to irrigate 10-40% rate of infections Staph, step and pasteurella multocida P. multocida, a highly virulent, facultatively anaerobic, gram-negative rod found in the oral cavity or nasopharynx of Read more…
“Exam room 3 is a sign out, 23 yo F, here for nausea, found to be pregnant. US shows IUP, good heart rate. No VB, has outside PMD. Got Zofran, tolerating PO. No urinary complaints, but we are waiting for her to give urine for the Urinalysis (UA). Discharge with Read more…
EM-CCM Conference: January 2014 Presented by Dr. LoCascio Summary by Dr. Grock The Case: 67 yo F pmhx ESRD on HD, HTN with slurred speech and Left sided weakness starting at 19:30. H&P and work-up significant for BP 208/95, R gaze preference, L facial droop, decreased strength to LUE/LLE. Read more…