Sun, 03/12/2017 - 2:14pm

A high-yield review of the past week from EMDaily

Read more
Sat, 03/11/2017 - 9:40am

An 80 year old male with history of hypertension, IDDM, and CML presents with acute onset confusion and left-sided weakness. The patient has no signs of trauma and is currently afebrile.

Read more
Fri, 03/10/2017 - 10:24am

Which is better for the brain injured patient, mannitol or hypertonic saline?

Read more
Thu, 03/09/2017 - 6:39am

Do you routinely recommend rest for your post-concussive pediatric patient?  You may reconsider this adivce.  This week Dr. Lou Argentine reviewed this clincal question for his critically appraised topic.    

Read more
Wed, 03/08/2017 - 12:54pm

2 year-old male with no PMHx is brought to the ED for intermittent abdominal pain for the past two days. Mom notes that the child will crouch down into a ball when he has pain, which only lasts for a few minutes at a time. He has decreased solid food intake but no vomiting or diarrhea and is otherwise well. Vitals and physical exam are unremarkable. The ultrasound is shown below…what’s the diagnosis?

Read more
Tue, 03/07/2017 - 6:00am

A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema.  You order imaging and are concerned for TB but unsure what to do next.

Read more
Mon, 03/06/2017 - 5:00am

What may appear (and smell) impressive in the ED does not always require emergent intervention, yet understanding how to determine the severity of lower gastrointestinal bleeding, need for aggressive resuscitation, and diagnostic/consultant resources are key for the emergency provider.

Read more
Mon, 03/06/2017 - 12:03am
Sat, 03/04/2017 - 7:16am

A 5 year old male without medical history presents to the Emergency Department with his concerned mother with chief complaint of rash for 2 days. The patient has a palpable purpuric rash localized to the buttocks, legs, and arms (see below).

Read more
Fri, 03/03/2017 - 5:24pm

When patients present to the Emergency Department with acute upper GI bleeding, the natural inclination is to quickly pull the transfusion trigger. However, a 2013 study gives us pause...

Read more

Pages