Thu, 02/27/2020 - 5:00am

25 yo male presents to ED after synope. ECG obtained. 

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Wed, 02/26/2020 - 7:00am

40 yo M presents to ED complaining of L flank pain w/ hematuria x 1 day. 

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Tue, 02/25/2020 - 10:45am

A 24 year old female presents to the ED complaining of a worsening headache after a lumbar puncture performed in the ED 2 days prior which diagnosed idiopathic intracranial hypertension. "No problem!" you think. Either this is just a post LP headache or possibly the patient needs more CSF drained to improve her headache. LP is a very safe procedure with minimal risk after all! Right?

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Mon, 02/24/2020 - 5:00am

24 year old female presented with right wrist deformity and pain after fall.

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Sat, 02/22/2020 - 5:00am

 

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Fri, 02/21/2020 - 3:00am

You are working at a community trauma center when an elderly male is brought to the ED after being struck by a car.  The patient is complaining of right sided chest pain and is in respiratory distress. He has a patent airway, is breathing spontaneously and is normotensive.  He is confused and not oriented to place or time. A chest x-ray does not reveal a pneumothorax, but does reveal 5 contiguous rib fractures. The patient is likely to require intubation due to the increased work of breathing.  You review the patient's chart and note that he has a POLST on file indicating a DNR/DNI status as well as identifying his daughter as a medical power of attorney who may override the POLST. A nurse lets you know the patient’s family has arrived.  You wonder how the presence of the POLST form will influence your conversation with the family.

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Thu, 02/20/2020 - 5:00am

Review of Major ECG findings from last week's Tintinalli Club for Valentine's Day 

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Wed, 02/19/2020 - 5:00am

 

A 24 yo F with history of gallstones presents to the ED with RUQ pain

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Tue, 02/18/2020 - 12:39pm

Most patients presenting to the ED with a headache have a simple primary headache: tension, migraine, or cluster. Detecting the "other" etiolgies for headache, which can result in neurologic devastation or death, is often a diagnostic challenge. He we give some quick hits for one of the "can't miss" headaches, how it presents, and how to diagnose it.

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Mon, 02/17/2020 - 5:00am

Unstable bradycardia?  Complete heart block?  No worries - we've got you covered with this pictoral guide of how to place a transvenous pacer.

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