A 58 yo patient with a hx of CLL presents with a chief complaint of dyspnea, wheezing, and cough for 3 days. He is noted to be tachypneic with o2 sats of 91% on RA. There is diffuse expiratory wheezing. Peripheral WBC count is 199,000, increased from a baseline of ~80,000. A CT scan shows scattered interstital infiltrates. What is going on with this patient and what is the indicated therapy?
Read moreSubmitted by Richard Byrne, MD
Abnormal uterine bleeding? Remember PAL-COEIN.
Read moreSubmitted by Katie Selman, MD
27 year old male presents with acute onset of left testicular pain. Cremasteric reflex is normal. Some tenderness and a tranverse lie is noted.
Read moreSubmitted by John Cafaro MD
Submitted by Loran Hatch, DO
Dr. Chavez discusses pearls and pitfalls of testicular torsion.
Read moreSubmitted by John Cafaro MD
A 90 yo male admitted to the hospital 4 days ago begins having nausea and vomiting.
Read moreSubmitted by Katie Selman, MD
Ketamine is a swiss army knife of drugs. Read on for use in pain management.
Read moreSubmitted by Katie Selman, MD
A 12 year old female is tackled in a soccer game. She arrives with her knee in flexion and her patella laterally displaced. She is neurovascularly intact. Skin is intact. She cannot extend the knee. What is the diagnosis?
A. Patella Dislocation
B. Knee Dislocation
Read moreSubmitted by John Cafaro MD
Toxicologist, Dr. Haroz, discusses a drug that has recently been in the news - Kratom.
Read moreSubmitted by John Cafaro MD
