A middle-aged woman with history of unilateral nephrectomy presents with a week of malaise progressing to disorientation, and is found to have a large obstructing kidney stone in her remaining kidney coupled with signs of severe sepsis and renal failure. Read ahead for management tips and additional pearls....
We will continue our focus on thyroid emergencies. Thryoid storm is a life threatening decompensation of thyrotoxicosis with the classic presenting triad of hyperthermia, altered mental status and sympathetic surge. This is largely a clinical diagnosis and timely, accurate treatment is essential. Read ahead for the treatment regimen and pay particular attention to the ORDER of medications!
Last week the Cooper EM residents received a primer on the approach to the patient with IBD in the ED from our own GI fellow Krysta Contino. This week will focus on the basic approach, and next week we will take a deeper dive into specific complications that every ED doc needs to know about!