The anion gap is a calculated measure. It is used to help determine metabolic causes of acidosis and can suggest underlying pathology in an undifferentiated patient. The full formula for calculating an anion gap is: ([Na+] + [K+]) − ([Cl-] Read more…
You are in the middle of a busy shift where you just had enough time scarf down some tacos in between seeing patients of all sorts that seem to be bleeding, anemic, and requiring transfusions (when it rains, it pours, Read more…
Your Case: A previously healthy, 8 year-old Hispanic boy presents to the ED with a recurrent rash on his right posterior thigh. The involved area always becomes “infected” whenever the patient develops a fever, and this is the 3rd and Read more…
In the spirit of paralyzing terror that makes you seep through all holes like some cholinergic toxidrome, lets talk some ACLS medications in meds. Sitting comfortably in your last set of bodega-bought undergarments, oblivious of the contact dermatitis that is Read more…
In summary, you have a 40 year old woman presenting with neuro complaint and a scary looking head CT scan. Click HERE for the original post.
*This blog post was selected as a 2016 “Top 5- Finalist” by the ALiEM Essentials fellowship committee! The suture kit truly is the “Swiss Army Knife” of the Emergency Department. Within that box is a treasure trove of sterile tools that can Read more…
. . . . For more information on understanding the risk factors and pathophysiology of Torsades de Points, I found this textbook very helpful: Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald’s Heart Disease(see citation below). Reviewed by Dr. Read more…
Mechanism or Injury — Anterior TMJ dislocation are the most common type of jaw dislocation. They typically occur due to opening the mouth in an extreme manner such as yawning. Others causes include trauma, dystonic reactions, seizures, or tetanus infection. Iatrogenic dislocations Read more…
It’s your second night in the Peds ED, and you’ve barely recovered from last night’s vomit-swallow resuscitation when in walk parents Stu and Didi Pickles with their 10 week old infant son, Tommy. Tommy looks happy as an old man Read more…
Dr. Tu is our winner this month in identifying the key diagnostic challenge this month: Searching for a Cause for Rhabdomyolysis. How did his differential stack up? Read further to find out. In summary, a 42 year-old man presents with symptoms Read more…
