Tue, 07/28/2020 - 9:57am

A 76 yo female with a history of Stage IV breast Ca with metastasis to the lung presents to the ED with acute shortness of breath 10 hours after an outpatient placement of a right sided PleurX chest tube for drainage of recurrent malignant effusion......

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Mon, 07/27/2020 - 10:46am

Summer = the beach here in NJ and with the beach season comes marine envenomations.  Luckily, the most common jellyfish found here in NJ is the moon jelly which causes little to no sting.  But any jellyfish conversation in EM should include a discussion of Irukandji Syndrome - so here are your quick facts.  

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Sat, 07/25/2020 - 10:30pm

65 year old male

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Fri, 07/24/2020 - 3:00am

A 56 year old male comes to the ED via EMS after noting progressive dyspnea and fever.  In the field, the EMS team notes the patient is hypoxic with an SPO2 of 85%.  Despite the low oxygen saturation, he is only using minimal accessory muscles and he is alert and oriented.  His chest X-ray shows a right lobar pneumonia and he is requiring 6LNC oxygen to maintain a saturation greater than 90%. You know there is significant guideline evidence to support the use of non-invasive positive pressure ventilation (NIPPV) for COPD and CHF exacerbations, but what about patients with other causes of hypoxia such as pneumonia?

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Wed, 07/22/2020 - 1:00pm

A 14 yo F with no past medical history presents to the ED after acute onset of headache, nausea/vomiting and change in mental status.

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Tue, 07/21/2020 - 5:11am

A healthy 23 yo male presents after injuring his knee playing soccer. He is complaining of inability to completely extend his knee. "It's stuck." he reports to the triage nurse. "That seems like a problem..." you think to yourself as you enter the room. How did this happen? How do I unstick his knee? Read on for some quick pearls on the "locked knee."

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Mon, 07/20/2020 - 5:11am

Last week, we covered the components of the slit lamp.  This week, we're reviewing how to perform the slit lamp exam.

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Sat, 07/18/2020 - 1:00pm

A 60 yo female wi

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Fri, 07/17/2020 - 4:00am

50-year-old man requires intubation for encephalopathy. His urine output is > 400 cc/hr and serum Na returns at 179 mEq/L. What is the most likely cause of his polyuria? 

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Wed, 07/15/2020 - 6:49am

A 65 yo male presents with left foot pain

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