And now for the much anticipated conclusion of last week’s thriller (Zeccola’s Zoo-o-Gnosis: Lyme Disease Part 1). Last week we talked about what exactly is Lyme disease and how it can present a lot of different ways. This week we Read more…
54 year-old male with history of granulomatosis with polyangiitis (GPA), end-stage renal disease, myelodysplastic syndrome, and hypertension presents to the emergency department with fevers, chills, and myalgias x 1 day. The symptoms have worsened since his dialysis session this morning. Read more…
A 20 year-old man with no PMH presents to the ED after skateboarding injury. He states he was skateboarding around a construction site when he felt a sharp object cut the back of his right leg. Vitals are within normal Read more…
While we may be trapped in our concrete jungle here in Brooklyn, many of us and some of our patients do occasionally get outside. In the Northeast in particular, this means a high risk of getting a tick bite and Read more…
You just finished a slow Peds shift during which you saw a whopping 3 patients – viral syndrome, viral syndrome, ibuprofen, PO challenge, and discharge. You feel a little underwhelmed. As you leave the hospital, you decide to call Read more…
A 67-year-old man with history of COPD, HIV (CD4 50), peripheral vascular disease, DVT, and chronic renal failure presented to the ED with AMS and dyspnea after missing one dialysis session due to a transportation issue. His home attendant found him at Read more…
It’s 1993. You are doing a month of elective in Bogotá General Hospital in Colombia. It’s your first week, and you are eating the empanada you got on the street. You turn on the TV: “A HUGE CAR BOMB KILLS Read more…
It’s a beautiful day outside, and the pediatric ED is packed with super cute, snot-nosed children. While you are busy at work, you are happy that all of these kiddos are so adorable. You are wondering if your shift can Read more…
It’s another long night in pod A, but luckily there is a break in the unending stream of patients. You head to your favorite green delicatessen and feeling adventurous, you pick up a bag of sour candy. So sour! Your brain instantly flashes back to the last time you prescribed sour candy as your memory-sensory axonal connections are triggered. The image of that 45 year-old man with 5 days of recurrent pain in the lower right of the mouth that was worse with eating is as clear as day. Who knew candy can be medicine? (more…)
There’s no ‘normal’ day in the Emergency Department. It’s a matter of pride that as a group, we’re all highly adaptable and energetic enough to handle anything that comes through the door at any moment. It’s never boring. It’s an Read more…
