You're working in your new hospital without ObGyn coverage and your triage nurse informs you that "there is a woman bleeding up front...she looks pregnant." You begin to run a differential through your head of what that problem could be. Read on below for diagnoses to consider.
While we aren't dentists, it's very common to encouter ED patients with dental complaints. Dental blocks are a very useful tool in the care of patients with not only dental pain, but can also be used to anesthesize certain areas of the face for laceration repairs. Read on below for a guide on the different types of blocks.
A 38 year old male with a past medical history of IV drug use presented with right 4th finger pain. It is held in slight flexion, there is swelling over the tendon, and pain with palpation and slight extension.
Sore throat? Hot Potatoe voice? What's more bread and butter EM than drainage of a peritonsillar abscess?!?! Read on below for a few pearls when it comes to diagnosing and draining.
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?
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...
This post was inspired by a recent clinical case in our department. A 7 week full term infant s/p spontaneous vaginal delivery with a normal maternal prenatal screen and course presents to your ED for not eating x 12 hours. On exam, you note decreased spontaneous movements, a weak suck and a weak cry noted. Vitals are normal. What's the diagnosis?