The Case: A 20 year-old male h/o DM was found down and unresponsive after a gas explosion downtown with agonal respirations and extensive burns to anterior trunk, right upper extremity and bilateral lower extremities. Vital signs were BP 150/92 HR Read more…
Who remembers the brainstem in medical school? You vaguely remember pictures like the one to the right that made you want to adopt a pug? Well, stick with me and let’s learn a system for the brainstem. I promise I Read more…
Dr. Sinert graciously hosted Food & Journal this week at his outdoor courtyard in Brooklyn. Over barbecue and veggies, we spent the first half of the night discussing a new paper on syncope management and the second cheering Usain Bolt to Read more…
A 67 year-old male with history of hypertension, diabetes mellitus type II, dyslipidemia presents to the emergency department with 1 hour of severe chest discomfort that started while he was watching the evening news at home. The chest discomfort is Read more…
A 12 year-old female with no PMHx presents to the pediatric ED with acute-onset crampy and sharp left-sided pelvic pain. The pain started 3-4 hours earlier, associated with nausea but no vomiting or diarrhea. VS: HR 102, BP 110/86, T: 99.4 Read more…
A 65 year-old male presents with a worsening productive cough, shortness of breath, general malaise, and subjective fevers and chills for the past week. His PMHx includes HTN, CAD, and DM. He has a 30 pack-year smoking history. He has Read more…
About halfway through your relatively quiet shift in the Critical Care & Trauma area of your ED you hear an overhead notification, “stroke code to triage!” You and Padma the intern set down your tasty cappuccinos and speed walk Read more…
You are sitting in the Critical Care area of your ED and the walk-in triage nurse approaches you with an ECG and a patient. She tells you he is a 60 year-old male with a PMH of cardiac stents presenting Read more…
Great discussion everybody. Just to review the case: An 83 year-old female recently diagnosed with TB now presents with epigastric pain. She is found to have an enlarged and tender liver. The notable labs were sodium of 121, AST > Read more…
Good job, Eden Kim, for correctly Identifying pulmonary hypertension on EKG!! Let’s talk about pulmonary fibrosis and pulmonary hypertension and their prominent electrocardiographic findings. Idiopathic Pulmonary Fibrosis History usually >50 years old progressively worsening dyspnea and non-productive cough history Read more…
