Thanks to Dr. Yeo for today’s Morning Report on Acute Angle-Closure Glaucoma! Acute Angle-Closure Glaucoma Introduction: Ocular emergency caused by sudden/increase in IOP Prolonged increased IOP may lead to optic nerve damage and irreversible blindness Iris is pushed or pulled anteriorly to block trabecular meshwork, blocking outflow of aqueous, leading Read more…
The following is a case presentation courtesy of Dr. Lau: 56 yo M h/o DM, HTN, previous cocaine abuse, CHF (EF 15-20%) presents with mild shortness of breath and chest pain. Initially, vitals BP 105/62, 85, 20, 98%. Patient not in distress but was walking about ED and complaining Read more…
Welcome everyone to a new edition of the EBM blog, which is now renamed Staten Island Corner (Billy and Michelle this is a plea for you two to get involved and add to this). I am taking over for Zina and will doing this on a monthly basis. For Read more…
Thanks to Dr. Pearsall for this review of the clinical pathways to diagnosis of lower extremity DVT! Dx of Suspected 1st LE DVT Tools to Dx DVT: Wells Prediction Rules D-dimer 2-point proximal compression US Whole leg doppler Venography Basic Pathway to Dx: Determine pretest probability Use Read more…
Thanks to Dr. Melendez for today’s Morning Report (originally presented on 4/24/2012)! Venous Access in Neonates A continuation of my case from 2 weeks ago: A mother brings her 9 day old infant in because “she has not urinated in the past 12 hours and she is very sleepy”. Read more…
Today’s morning report is courtesy of Dr. Cioe. Here’s the case: A 3 year old female presents to ED with 3 day history of vomiting, throat pain, abdominal pain. On exam, the patient is febrile, tachycardic, and ill appearing. The patient has a clear pharynx, but pain on swallowing. A Read more…
While there is a lot on New York’s 2012 Legislative Agenda, there are few policies that affect us as EM physicians as much as the I-STOP Act. I-STOP stands for the Internet System for Tracking Over-Prescribing. It serves as a new act to create an on-line controlled substance reporting system, Read more…
Thanks to Dr. Nadir for today’s Morning Report (originally presented on 4/20/2012)! 76 year old male with hx of emphysema presents with slowly progressive SOB, over the last 10 days. VS: HR 110, RR 28, O2 sats 93%, BP 110/76. Exam reveals decreased BS over the left lung field. US and Read more…
For this week’s Wednesday Wrap-up, I want to discuss the issue of the pan-scan in blunt abdominal trauma. Dr. Morley gave a great review of the evidence in the literature. This topic is very controversial and you will hear many differing opinions not just between EM and trauma surgery but Read more…
Here’s Dr. Caputo with a Morning Report on lower extremity nerve blocks: MASTERING NERVE BLOCKS OF THE LEG 1)KNOW THE 2 MAIN NERVES GOING INTO LEG: FEMORAL AND SCIATIC 2)FEMORAL NERVE: HIP, ANTERIOR THIGH, QUADRACEPS, AND HAS SAPHENOUS NERVE BRANCH 3)TIBIAL AND COMMON FIBULAR ARE BRANCHES OF SCIATIC Read more…