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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.    

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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?

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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.

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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.

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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).

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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...

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Thu, 03/02/2017 - 6:26am

Have you cared for a paient dying from traumatic hemorrhagic shock despite maximum resucitation efforts?  Dr. Zaffer Qasim from Christiana Care  and @emmeddoc joined us for an outstanding talk on the use of REBOA in this patient population.  

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Wed, 03/01/2017 - 12:18pm

24 year old male presents with left knee pain after he reports playing basketball just prior to arrival. He states he landed on his left knee and "jammed it." He has decreased range of motion of the left knee and there swelling and tenderness-to-palpation of lateral joint line. What's the diagnosis?

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Tue, 02/28/2017 - 5:00am

A 45 year old man with PMHx of HTN presents with chief complaint of chest pain for 15 minutes after shoveling snow. His vital signs and physical exam are unremarkable. A 12 lead ECG is obtained...

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