46 year-old female with diabetes presents for sore throat and facial swelling for the past 3 – 4 days. Patient states she’s been experiencing difficulty with chewing due to pain. The patient also endorses tactile fevers. On exam, you notice multiple Read more…
You scan the board for your next patient in fast track when you see the chief complaint: hand laceration. Great! You grab your suture set and lidocaine (without epinephrine of course) and prepare for another quick “treat and street” and head to see the patient. Wrong. You realize there is a deep laceration to the palm side of the fingers and this may not be as simple as you once thought.
Digoxin strikes again! Job well done. You nailed it. Let’s discuss. Job well done bloggers! P.S. I mustache for more puns in future posts… References: Jon B. Cole and David J. Roberts. Read more…
As they say in the North, Winter is Coming. But what better way to stay warm than by putting on your thinking cap and trying your hand at this month’s COTM? The patient is a 35 year-old man with Read more…
With the election circus coming to an end, you realize you need a little diversion to recover. What better way to do distract yourself than with a little hiking? You grab your gear, book a ticket to Tanzania, and the Read more…
Cellulitis is commonly diagnosed and treated in the Emergency Department ED) with considerable variation in treatment and disposition patterns. These patients may be: Given a dose of intravenous (IV) antibiotics before discharge home Placed in observation unit for IV antibiotics Read more…
Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the interesting ECGs from Kings County. Batter up! 63F h/o HTN, HL, DM, CAD, AFib (warfarin) CHF (EF 35%) presents to King’s County for “high blood pressure”. Lucky Read more…
It’s 4 AM. CCT is empty. You are doing uWorld questions for your upcoming Step 3. As you are about to drink your warm, cheap coffee, the triage nurse rolls in a 39-year-old female with no significant PMH who is Read more…
Last month we discussed the use of needle aspiration as an alternative to placing a traditional large-bore chest tube in patients with spontaneous pneumothoraces. One of the selling points of using these less invasive methods is that they decrease the amount Read more…
