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?
Read moreSubmitted by Loran Hatch, DO
Should we be giving steroids for patients in septic shock? This trial attempts to answer that question.
Read moreSubmitted by Kara Huston, MD
A 58 yo M develops abdominal pain and hypotension 12 hours following stent placement to the L common iliac and L superficial femoral artery for limb ischemia.
Read moreSubmitted by Lauren Murphy, MD
Remember to include thyroid storm on your differental for hyperthermic and altered patients. Here are some strategies for treatment and pitfalls to avoid!
Read moreSubmitted by John Cafaro MD
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...
Read moreSubmitted by Loran Hatch, DO
A 63 year-old female presents to the Emergency Department with sudden onset chest pain that is tearing to the back. Blood pressure is 200/110 and the patient looks very uncomfortable. You order a CTA of the Chest, Abdomen and Pelvis and diagnose Aortic Dissection.
Read moreSubmitted by John Cafaro MD
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?
Read moreSubmitted by John Cafaro MD