What's the diagnosis? By Dr. Loran Hatch
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A 45 yo male presents after MVC with c/o right eye and facial pain.
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Loran Hatch, DO
What's the Diagnosis? By Dr. Loran Hatch
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A 14 yo M presents to the ED complaining of L knee pain.
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An Interesting Case of Ingestion by Dr. Loran Hatch
A 20 year-old female presents with an intentional overdose. Her mother reports that 30 tablets of Meloxicam 15mg missing. Patient alert and she complaints of generalized abdominal pain and nausea. Vitals are initially stable, but then she becomes hypotensive 50s/20s while she is alert. Her ECG is NSR and wide QRS (146ms) and prolong QTc (762ms). The patient eventually admits to also taking her mother’s Plaquenil.
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Back to Basics: Heat Emergencies
Summer and the hot weather isn't over just yet! Read on for the common heat emergencies that you may still be seeing in your ED.
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Back to Basics: Hematuria
SHIIITTS can help you remember the common causes of blood in #1.
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#EMConf: Does Ultrasound Improve Success Rate for Lumbar Punctures in Infants?
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The Bottom Line: These studies shown increase success r
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Back to Basics: Tickborne Illnesses
As the weather warms in most parts of the country, we need to begin including tickborne illnesses on our differentials. Read below for a quick summary of some of the most common tickborne illnesses.
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Back to Basics: Complete Heart Block
68yo Male, hx DM (+insulin pump), CHF (+lasix), HTN, presents to the ED c/o intermittent episodes of lightheadedness for the past year, becoming more frequent over the past month and had an episode today while getting out of bed. No syncope. At home noted HR 33, went to urgent care, HR 37. Patient was sent to the ED for further evaluation. What did the ECG show?
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Back to Basics: Hypercalcemia
A 70 yo female s/p thyroidectomy 1 month ago on supplements presents to the ED complaining of intermittent nausea and vomiting for the past week with intermittent abdominal pain today. She reports that stools in her colostomy bag are now hard x 3 days. You get some labs and the basic metabolic panel shows...
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Back to Basics: Globe Rupture
A 92 yo female presents to the ED complaining left eye pain and bleeding, onset this am. Patient has hx of left corneal transplant in 2014. Patient with no vision in eye, also unable to differentiate light vs dark.
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