To sum up the case: A 44 year-old female presented to the emergency department with 3 days of nausea, vomiting, diarrhea, and left lower quadrant pain. She has a history of diabetes and stage 3 CKD and is taking metformin Read more…
Written by Adam Blumenberg MD Special Thanks to Mark Silverberg MD A 54 year-old woman with a history of cigarette smoking and uncontrolled hypertension presents to the ED disoriented and mumbling incomprehensible words. Her family members say she began Read more…
Clinical CT for August 2016 by Adam Blumenberg MD A 75 year-old woman with a history of left femur ORIF and hypertension was “clipped” on the left knee by a turning car as she was crossing the street. She is Read more…
ED Management of Hypercalcemia of Malignancy Hypercalcemia in the ED is often times an incidental finding. The clinical presentation, management and treatment of hypercalcemia as it specifically relates to malignancy will be discussed here. Workup of hypercalcemia When considering the Read more…
A 54 year-old male smoker is brought in by EMS with acute-onset, substernal chest pain. Vitals: BP 110/88, HR: 90. He is diaphoretic. The rest of his physical exam is unremarkable. A stat ECG reveals the following: The patient is taken Read more…
You are polishing off the sweet remains of a fruitful Halloween weekend when the paramedics burst through the door with a very sick looking patient. You throw away your candy wrappers and rush to the stretcher where they present you with a 58 year-old ill-appearing obese male who’s been in sub-acute rehab after a knee replacement. EMS tells you he had been found altered with episodes of vomiting, diarrhea, erratic behavior and movements.
You ask for the admission history and are handed over tomb of papers.
A-FIB, CHF, COPD, BIPOLAR, ETOH ABUSE, PEPTIC ULCER DISEASE, CAD w/ stents…
A medication list that spans the page…
As your mind is flooded with a large differential of CVA, sepsis, C-diff colitis, ETOH withdrawal-you begin to wish you could go back to eating twizzlers and kit-kats.
Your wise attending calmly walks over and reminds you can order one test that can pull together these disparate symptoms.
44 year-old female presents to the emergency department with 3 days of nausea, vomiting, and diarrhea. She complains of mild epigastric pain but 8/10 pain to the left lower quadrant. Pain is non-radiating and described as a sharp, stabbing, and Read more…
It’s Halloween! You just finished a rough shift (trying to figure out fake blood and real blood isn’t always as easy as it seems). You’re headed to a Halloween party in your go-to doctor scrub costume with a warm, Read more…
About halfway through your shift in the critical care area of the ED, you are wrapping up a conversation with the medical ICU team about an elderly patient in septic shock when you hear a shout for help from the Read more…
A 34 year-old male with no medical problems presents to the emergency department with a bug bite. He states he was cleaning out his attic when he felt a pinch on his right arm. He saw a spider on his Read more…
