Scenario: You are evaluating a 58-year-old male with hypertension and cirrhosis who presents with a sharp, right-sided, severe, non-radiating, constant headache that started suddenly two hours ago while he was walking to get something to eat. Shortly after 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 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 Read more…
Digitalis, a cardiac glycoside, is an age-old drug used since the time of the Romans. It wasn’t until the 18th century when the study of digitalis propelled humankind into the age of modern medicinal therapeutics. The cardiac glycosides are isolated from Read more…
Not a lot of takers on this tough ECG. Here’s some insight. Initial ECG: Sinus tachycardia, LAD, 1st degree AVB, RBBB Repeat ECG: NSR, LAD, 1st degree AVB, RBBB, TWI in V4-V6 A Closer Look At The Case Our patient Read more…
It is 6 AM and your shift is winding down. The last patient you are about to see is a 20-year-old man with a complaint of tooth pain. On your walk to his room you start to daydream about enjoying a little sunlight after working 6 nights in a row when you notice your patient is carrying an industrial sized bottle of acetaminophen from which he you just saw him pop five pills.
You are about halfway through your Peds shift, when a little girl is brought in by her mother for worsening rash and swelling. You immediately notice the child is in no respiratory distress and is awake and alert. She is Read more…
Focused echocardiography in the emergency department, also known as cardiac ultrasound, is a valuable tool used to help diagnose and manage a diverse array of cardiovascular pathology. In this post, we will be going over the basic techniques and indications; future 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 Read more…
We had three wonderful answers to last month’s COTM, but Dr. Segarra’s comprehensive response takes the cake. For a complete review of the case, please click here. Just to recap: 50-year-old woman with DM2, HTN, GERD, recently completed Read more…
