Welcome back. We’re going to continue reviewing common eye complaints. This time we’ll focus on the conjunctiva. Let’s quickly review. The conjunctiva is a thin, clear lining that covers the anterior portion of the eyes and eyelids. Read more…
The blood gas analysis offers important data to guide the treatment and prognostication of critically ill patients. Providers are able to quickly assess acid-base status, tissue perfusion, and respiratory mechanics. Traditionally, providers relied on arterial blood gas (ABG) for these Read more…
An 83 year-old female comes to the ED with burning epigastric pain, worse with an empty stomach, non-radiating, and non-exertional. It is not associated with nausea, vomiting or diaphoresis. She has not tried any remedies at home, but nothing makes Read more…
Sitting next to the middle fork of the Gila River in the wilderness of New Mexico is where I got one of my most salient lessons on the stages of learning. The prototype of the exercise was how well you Read more…
It’s 8AM. You are done with your night shift. All you can think about is a toasted whole wheat bagel with cream cheese and hot cup of single origin, organically grown, locally brewed and roasted cup of coffee. Read more…
Wrapping up your secret interpretive dance class, you realize that the teacher is looking awfully slow. You approach him, and before he falls into your hands in his sweaty silver spandex, he tells you that his dancing is inspired by his seizure disorder. He Read more…
You have just come home from an exhausting 12- (really 13) hour shift and left with the final two perpetual decisions residents must face before sleep:
Both choices are easy. As the water begins to boil for your ramen, you turn on Arrested Development and are greeted with your favorite never-nude, analyst and therapist – Tobias Funke. His blue legs reminds you of a DVT you saw earlier this month that seemed especially concerning…
The Case 23 year-old man s/p treatment for primary syphilis at an outside clinic about 6 weeks ago presents to fast track with worsening joint pain and swelling x 1 month. Symptoms started shortly after receiving the penicillin treatment; he Read more…
A young woman presents to your ED with shortness of breath and pleuritic chest pain. She states she got off a long plane flight from the Philippines. She is mildly tachycardic. OK, you think, let’s just whip out the ol’ Read more…
After reviewing the case, it is evident that this patient is sick. He’s tachycardic, but still maintaining a good blood pressure and mentating well. The exam is otherwise unremarkable. The x-ray is normal and the ECG just shows sinus tachycardia. Next, Read more…
