A review of bread and butter Emergency Medicine topics
Another busy day in the pediatric ED and Tim ‘The Tool-man’ Taylor brings in his 6yo boy who was complaining of abdominal and flank pain after drinking something in dad’s car garage. The boy said he “drank some of dad’s green garage gatorade” and Tim the Toolman says he’s acting a bit Read more…
You pick up a 65 year old man with no known past medical history and a chief complaint of cough and fever for three days. On physical exam you find a slightly confused man with an unhealthy obsession with Larry David, who is febrile and has crackles in his left lung base. Otherwise, the Read more…
It’s a busy weekday shift in the Peds ED on Jolly Roger Island. A captain brings in his 11 day old newborn scallywag, concerned about her left eye being ‘swollen, crusty, and oozing pus.’ He notes that she cries anytime he tries to touch it. Her vital signs are On exam Read more…
Deep Space Neck Infections! Anatomy Image from: http://www.uptodate.com/contents/image?imageKey=PEDS%2F74998&topicKey=ID%2F3415&rank=1~17&source=see_link&search=deep+neck+infection&utdPopup=true Types Peritonsillar space (abcess) Parotid space Submandibular space (Ludwig’s angina) Pretracheal space Prevertebral space Parapharyngeal space Retropharyngeal & danger space History & Physical Exam Findings – Dysphagia Read more…
A 32 year old local hipster who thinks he’s so “cool” that even his depression is atypical rolls in to the ED on his hand built, 1950’s soviet scooter complaining of a severe, acute onset occipital headache. He tells you that his Canadian psychiatrist put him on a new (yet retro) Read more…
It’s a typical busy Saturday night in the main ER, with your alcoholics and K2-smokers causing a ruckus, when you pick up a 32yo woman brought in by her friend for ‘acting strange.’ You think maybe she joined the K2-bandwagon of Brooklyn, but her friend adamantly denies any drug use, Read more…
A 42 year old, HIV positive man (not on HAART therapy) is brought in by his brother because “the skin on his head is turning into smelly frosting”. The patient’s brother tells you that he too has had “the itch” for a week… You look at the brother’s hands and Read more…
23 year old dude was walking in his neighborhood, listening to the latest Pitbull jam, when a domesticated unleashed dog attacks him. Vitals are normal. Musical taste is questionable. He has a few abrasions and small lacerations on his lower leg, ambulating normally, no other signs of trauma. Read more…
A 32 year old woman rolls into the ER on a quiet springtime afternoon – you are told that she had just had a tonic clonic seizure. She took a sabbatical after finishing her EM/IM residency and opened a moonshine distillery on Nostrand and Church. She typically “tastes” one pint of Read more…
EMS brings in a trauma notification: 40 year old man was so absorbed reading his book (51 Shades of Grey’s Anatomy) while crossing the street that he didn’t see the truck that struck him. He is moaning in pain and lethargic as he is rolled in. VS: BP 86/64, HR 118, RR Read more…