Tue, 01/29/2019 - 6:21pm

A 63 yo male presents complaining of severe pain to the right shoulder. He has markedly restricted range of motion in the shoulder, without any overlying erythema, edema, or warmth. You take a cursory glance at the xray as you gather supplies to perform an arthrocentesis for suspected septic arthritis...

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Fri, 01/25/2019 - 5:36pm

A 26 year old male presents to your Emergency Department with bilateral lower extremity weakness.  He states he recently had a “stomach bug” following a camping trip.  You suspect Guillain-Barre Syndrome.  Which of the following is most consistent with GBS?

A) CSF with elevated protein 

B) Hyperreflexia

C) Facial droop 

D) Sterile pyuria 

E) Vesicular rash 

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Thu, 01/24/2019 - 6:00am

A continuation of the massive hemoptysis case from last week. The patient was intubated and ROSC was obtained. Chest X-Ray showed a large cavitary lesion on the left side. On mechanical ventilation, lung protective strategy was used and despite increasing PEEP the patient's SaO2 ranged from 60-79%. 

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Wed, 01/23/2019 - 6:31am

A 2 yo male presents with wrist pain.

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Tue, 01/22/2019 - 5:19am

An 82 yo male presents to the ED complaining of several months of progressive hearing loss in the right ear. For the past 3 days, he can hear a male voice singing opera in the right ear only,  24/7. Read on for a brief discussion of this fascinating phenomenon and how we cured him in 5 minutes!

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Sat, 01/19/2019 - 8:46am

 

Which of the following poison is NOT correctly matched with its antidote? (scroll down for answer)

 

A) Clonidine - Vitamin B6

B) Valproic Acid - Carnitine 

C) Iron - Deferoxamine 

D) Sulfonylurea - Octreotide 

E) Heparin - Protamine 

 

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Thu, 01/17/2019 - 9:47am

48M arrives in the passenger seat of wifes car coughing up a large amount of blood. He is very pale appearing, his pulse becomes thready and the patient starts to become unresponsive. Wife tells you he has a history of AML and is being treated with Amphotericin B for an Aspergilloma. The patient arrives to the resuscitation room in cardiac arrest. 

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Wed, 01/16/2019 - 7:00am

A 15 yo M presents to the ED with headache x 3 days.

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Mon, 01/14/2019 - 4:59pm

Check out this lateral film of the wrist. See the fracture? Look again! Surprise...there is no fracture, but this patient has sustained a serious wrist injury with the potential for long term disability. This week we highlight some of the most common missed orthopedic injuries in the ED and suggest a few strategies to minimize the errors.

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Mon, 01/14/2019 - 5:00am

You are responding to a cardiac arrest and the patient has achieved return of spontaneous circulation however his blood pressure drops to 68/40 mmHg.  You would like to use push dose epinephrine. How is this prepared?  

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