A 28 year old female presents with right eye pain. She wears contact lenses and reports falling asleep with them in for the past few days. On fluroscein examination, you note a lesion that does not look like a typical abrasion. You wonder if this could be a corneal ulcer and what the appropriate treatment may be?
Not all ear pain is acute otitis media! Today's post reviews an uncommon specific manifestation of herpes zoster: Ramsay Hunt Syndrome.
A new class of medications for the management of diabetes (SGLT-2 inhibitors) is challenging our traditional notions of the diagnosis of diabetic ketoacidosis (DKA). Read on for quick pearls on when to suspect so called "euglycemic DKA" in the ED.
Facial paralysis can be challenging for both the patient and provider: remember to include Ramsay Hunt on your differential!
It can be frustratingly difficult to obtain hemostasis in bleeding dialysis fistulas. Here are some pearls to help you next time you see this patient!
Whereas the dosing of sedative medications is usually unaffected, the chief concern is whether there should be changes for neuromuscular blockade – will your patient with myasthenia gravis require a higher or lower dose of your selected paralytic?
Your Myasthenia Gravis patient looks quite short of breath. You know that there are some tests which can help guide your management, but can't quite remember the name....
A nurse yells out that a woman is exsanguinating from her vaginal bleeding. You quickly realize this is different from your typical GYN patient....
A patient presents in ventricular tachycardia with a blood pressure of 90 systolic. He is diaphoretic and complaining of chest pain. You decide to attempt electrical cardioversion and it fails. You attempts again....and again....and again....without success. You realize this is no ordinary VT...this is electrical storm. Read on for pearls on how to deal with this frightening and deadly condition.
Ever wonder if all of your patients presenting with recent onset (<48 hrs) atrial fibrillation and a rapid ventricular response really need to be admitted? Is there evidence of a safe and effective treat and street algorithm that EM physicians can employ? Read on for a review of the Ottawa Aggressive Protocol for rapid afib that enables discharge of 97% of patients!
