Louis Argentine MD

Board Review: Trauma

A 23 year old male presents to your emergency department with a stab wound to the right side of his lower back.  Which of the following below would be consistent with Brown-Sequard Syndrome? (scroll down for answer) 

A) Loss of motor function in right leg; loss of temperature sensation in left leg 

B) Loss of motor function in left leg; loss of temperature sensation in left leg 

C) Loss of motor function in right leg; loss of temperature sensation in right leg 

D) Loss of motor function in left leg; loss of temperature sensation in left leg

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Board Review: Yellow Fever

A 45 year old male presents to your emergency department with 1 day of headache, body aches, nausea and vomiting?  On further history you learn that the patient recently returned from a trip to Africa and you suspect Yellow Fever.  Which of the following below would increase your suspicion for Yellow Fever? (scroll down for the answer) 

A) Low pulse relative to fever  

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Advanced Practice: sPESI vs Hestia Criteria for Discharge of Low Risk PE Patients

With the rise in popularity of the NOAC class of anticoagulants, more and more patients with a new diagnosis of pulmonary embolism are being discharged from the emergency department.  Multiple risk classifications tools have been developed to help identify patients at low risk of short term mortality. Read on to see if this new study determined which tool is the winner!

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Back to Basics: Intussusception

BACKGROUND:

-One segment of intestine telescopes into another

-Most commonly ileum into colon

-Most common cause of intestinal obstruction in children under 2 y/o

-Rare before 2 months old

CLINICAL:

-Classically infant with intermittent episodes of severe abdominal pain with legs drawn to chest, asymptomatic between episodes

-Classic Triad: abdominal pain, palpable sausage shaped abdominal mass, bloody stools (“currant jelly”)

- rarely all 3 present

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