A review of bread and butter Emergency Medicine topics
A patient presents to Andy’s stupid fictional (but HIPAA compliant) hospital. He is an overweight 11 year old male who complains of hip pain and limp since minor fall 2 weeks ago. ROS o/w neg. VS wnl. PE with externally rotated leg with pain on abduction, flexion, and internal rotation. Read more…
A 73-year-old female presents in Fast Track (of Andy’s stupid fictitious hospital) with one week of back pain, worse at night. The patient is independent with all ADLs. No recent injury, no fever. The patient does report decreased appetite. Exam shows bony tenderness of thoracolumbar spine. What do you do? Read more…
Welcome to the procedure block’s first Bored Review You are working in CCT at 3am when the patient arrives. Young man with multiple GSW’s to chest. You address his ABCs – he is not breathing and has no pulse. EMS swears he had VS before they took him out of Read more…
A 76-year-old male with gout, osteoarthritis, diabetes, renal failure on dialysis, and CAD presents with right knee pain for 3 days. He is really mad that the knee pain has prevented him from walking to the coffee shop for the last two days to be grumpy with the other grumpy Read more…
What are the indications for surgical management of a hemothorax?
So you get this guy, 23 yo M with schizophrenia and depression brought to ED by Mom for “acting strange”. Mom reports a recent change in his psychiatric medication, but does not know the specifics. Patient is agitated and not responding to your questions appropriately VS: T 103.8, HR 120, Read more…
You’re kicking back in an empty CCT when you hear a ruckus in the hallway. In comes in a young man with a penetrating injury to the neck. He’s stridorous and diaphoretic on arrival. By Dr. Andrew Grock and Dr. Sally Bogoch Read more…
A 2 week old presents with multiple episodes of green vomiting today with inability to tolerate PO. Pt has had no fevers and normal birth history. On exam, baby has a distended belly with moderate generalized tenderness. By Dr. Andrew Grock and Dr. Sally Bogoch Read more…
Made up Case: 70 yo ESRD (LUE fistua, MWF, last yesterday), HTN, DM, severe COPD presents peds struck by semi: Airway, Breathing, Circulation initially intact, IV/O2/Monitor placed 102, 150/60, 28, 93% on RA Secondary survey neg except for pan-right sided pain. CXR/pelvis X-Ray unremarkable. Pan-Scan (come on, 70 and hit Read more…