A review of bread and butter Emergency Medicine topics
A 4-year-old girl is brought to the Emergency Department for fever and cough. You saw her 3 days ago for a Seal-like, barky cough and low-grade fever. You diagnosed her with mild croup, gave a dose of steroids, and the patient improved in the ED and was discharged home. The Read more…
A 54-year-old female with past medical history of HTN, CAD s/p two stents in 2013, and atrial fibrillation is brought in by EMS into the resuscitation bay. You notice she appears tired and weak but appears alert and mentating well. She reports an episode of syncope, and her daughter called EMS, who then Read more…
You are the junior resident on your ultrasound rotation, and you are scanning the board for pregnant females to examine. You finally find a 20-year-old female with a chief complaint of vaginal bleeding and vomiting. Her vitals are notable for tachycardia to 110 and hypertension to 186/98. The triage note Read more…
A patient presents with anterior uveitis. You have so many questions. What is the uvea? The uvea is the term for the iris, ciliary body and choroid. The anterior uvea consists of the iris and ciliary body, while the posterior uvea is the choroid. Hence, anterior uveitis is also Read more…
It’s Friday night, and you get a second in between patients. You are dreaming of sipping a Mai Tai by the beach, when your dream is quickly brought to an end. A 35-year-old young man walks into the ED, complaining of an episode of “passing out” after a few drinks. Read more…
A fit, young female dressed in cycling gear presents to your emergency department with a chief complaint of shoulder pain. Just prior to arrival, she was participating in a bike race in Prospect Park. As she was sprinting to the finish, a menacing squirrel leaps out aggressively and tries to Read more…
You decide to spend your elective month in Bora Bora hoping you’ll pick up a clinical pearl or two on trauma and envenomation from marine fauna. One morning on your day off from the hospital, you decide to get up early and run on the beach. Reaching “flow” at the Read more…
I’d like to thank our 4th year resident, Dr. Michael Griesinger, for essentially giving me this entire lecture in real time as he diagnosed and treated an inferior STEMI with right ventricular (RV) infarction yesterday. He nailed every aspect of it. Everything I researched today was just confirmation. So let’s talk about RV infarction. When should I worry Read more…
It’s about 12am on a Tuesday, and you’re almost done cleaning up that post-dinner rush in the pediatric ED. You scuttle that last fever with a rash out the door, stickers in hand, when another one pops up on your board: Three-year-old male, here with abdominal pain. Oh, those little Read more…
In the spirit of “Making America Great Again,” I did what every great American citizen would do over the July 4th weekend – BBQ meats. As I was working the grill, I started daydreaming about those 8-hour shifts, but unfortunately stopped paying attention to the grill, leading to the demise Read more…