Thu, 12/12/2019 - 5:00am

Patient presents to the ED with non-specific complaints of intermittent fever, nausea, vomiting, abdominal pain, cough, congestion, headache and myalgias over the past 1 week. Returned from Pakistan 1 month ago. 

 

DDx: Malaria vs Dengue vs Chikungunya vs Influenza vs HIV ...

 

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Wed, 12/11/2019 - 10:40am

A 30 yo M presents to the ED complaining of atraumatic lower back pain x 2 days

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Tue, 12/10/2019 - 5:54pm

A 56 yo male with a hx of TBI, subglottic stenosis, tracheomalacia, and tracheal stenosis presents in acute respiratory distress. There is a strange looking trach in place with no balloon for a cuff. You begin to wonder how you will manage this pt if he ultimately requires mechanical ventilation.....

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Mon, 12/09/2019 - 5:00am

What do excedrin, pepto bismol, aspirin and oil of wintergreen have in common? Salicylates! As we know, this common drug can be quite toxic in overdose. Here we review the basics of salicylate poisoning.

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Sat, 12/07/2019 - 5:00am

A 17-year-old female presents to your ED with abdominal pain. Her vital signs are as follows: BP 90/60, HR 120, RR 16, and SpO2 99%. LMP is unknown. A urine pregnancy test is pending.

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Fri, 12/06/2019 - 5:00am

A 72-year-old man develops generalized tonic-clonic activity at home. He receives lorazepam 4 mg intravenously during the 7-minute transport to the ED. He continues to have witnessed convulsions on your examination. Point-of-care glucose is normal. After supporting his airway, breathing and circulation, what medication should be administered second line for status epilepticus (SE)? 

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Thu, 12/05/2019 - 5:00am

Critcally Appraised Topic - Does giving Benadryl prophylactically prevent metoclopramide induced akathisia? 

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Wed, 12/04/2019 - 12:45pm

A 66 yo with right foot pain

 

 

 

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Tue, 12/03/2019 - 5:00am

You are evaluating a patient for abdominal pain the usual way (with a CT of course!) when you discover an incidental pericardial effusion. Quick as a flash you grab your trusty ultrasound and head back to the patient's room, wondering how this effusion got there and what POCUS findings you should be looking for...

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Mon, 12/02/2019 - 5:00am

You've diagnosed your patient with a PE! Now what?

Blood thinners? tPA? Other options?

Let's review some of the basics of PE management in the ED.

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