A review of bread and butter Emergency Medicine topics
A 52 year old man is brought in by EMS with complaints of altered mental status. Family says that he has been recently feeling palpitations and diaphoresis and collapsed in his chair today. On further questioning you gather that the patient has always been very skinny, anxious and sweaty. He recently went to his Read more…
A patient with long-standing alcoholic cirrhosis presents to your ER with altered mental status…or fever….or abdominal pain… or new onset ascites. He reports this is his normal skin color. He also reports his wife’s hair is always 4 feet tall and blue and his children’s hair color is the exact same Read more…
A 65 year old man with htn presents after being woken up from sleep with trouble breathing. His breathing improved after he sat up, but he is still complaining of tongue swelling. On exam, he has poor dentition, fullness to his upper neck and submandible area, and drooling. He denies Read more…
A red-headed Auror presents after suffering an ear injury in a duel with one of the few remaining death eaters. He reports bleeding from the ear after being hit with “Secumsempra” (Don’t get any of these references? Seriously?!?!? See here and GO READ A BOOK…OR SEE A MOVIE!) On Read more…
To continue discussing the chest pain patient from last week…(you remember, the syphilitic patient with Turner Syndrome who presents with tearing chest and epigastric pain radiating to the back with unequal upper extremity blood pressures, a pulseless leg, neurologic deficits) By Dr. Andrew Grock Read more…
Believe it or not, someone presents to your ER with chest pain! . By Dr. Andrew Grock and Dr. Sally Bogoch References Rivers uptodate.com
Here’s Dr. Wang with today’s Morning Report! Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus has three areas of narrowing where foreign bodies are most likely to become entrapped upper esophageal sphincter (UES) crossover of the aorta lower esophageal sphincter (LES) certain Read more…
Thanks to Dr. Kincade for today’s Morning Report! Wellens Syndrome Pattern of inverted or biphasic T waves in precordial leads that are specific for critical LAD stenosis Critical stenosis LAD High risk of anterior MI w/o medical tx: 75% pt advance to ant MI in avg 8.5 days Read more…
A 33 year old man presents with chest pain and mild shortness of breath, progressively worsening over the last two days – sharp, sternal, worse on inspiration/lying flat, no radiation, better with sitting up. ROS + for URI 8 days ago. CXR: unremarkable ECG: T wave flattening and T wave Read more…
An EMS note arrives – an obese 60 year old F with a history of the sugar, the pressure, and a “stomach problem…called digestive heart failure”. VS: HR 120s, RR 40s, O2sat 88% on NRB, BP SEE BELOW. PE diaphorectic, Crackles all the way up the back. Name the diagnosis Read more…