The Case 36 YOF PMH GERD, lap band s/p removal 8 months prior BIBEMS for multiple episodes of hematemesis, melena x1, syncope x1. Patient was lethargic upon arrival. BP 70/55 HR 120 RR 22 02 Sat 98% Temp 97.8F. On Read more…
Thank you Dr. Vega for this Morning Report Hepatorenal Syndrome Patient usually has history of cirrhosis, hepatitis, or can be acute in setting of ATN or recurrent hospitalizations with nephrotoxic agents. Types of hepatorenal syndrome Type I: Rapid/progressive impairment of Read more…
Happy Holidays from Bored Review! This week’s post is so exciting it will make you shed… It’s New Years Day and your first patient of the new year is a 45yo man with no significant prior PMH. However, it’s his third Read more…
Tranexamic acid (TXA) is an antifibrinolytic drug that was first discovered nearly 60 years ago by two Japanese scientists. TXA has been used to mitigate blood loss in elective surgeries, hemophiliacs, post-partum hemorrhage, and most recently after major trauma1. Here in Read more…
Happy Holidays avid Rhythm Nation followers! Time for the December edition of the blog. This month’s will be a little different but still should be interesting nonetheless! Here is our case: A 57 year-old man with PMH of HTN, DM, Read more…
No brave souls made themselves present last month, so let’s go through the thought process and what I wanted you to recognize with this case. Quick summary: 34 y/o woman with PMD SS disease presents with 3 days of sickle Read more…
Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one resident for recognition Read more…
It’s 3 am and the ED has fallen into a lull. There is only a trickle of patient’s seeking for a a work note, though you’d believe their farfetched complaints if it weren’t for your wise attending. Enter the Read more…
Well put Sebastian! If you are thinking massive PE then you are correct! (Follow this LINK to the initial post, with ECGs and question.) Definition of massive pulmonary embolism (PE) is a PE with cardiac arrest, systemic hypotension (SBP Read more…
You’re busy at work in the ED of Seattle Grace Hospital when the infamous Dr. Christina Yang (one of the premier cardiothoracic surgeons in your prestigious fictional hospital) makes her way down to the ER after finishing a case in Read more…