A 25 yo male with a hx of ESRD due to membranoproliferative glomerulonephritis (MPGN) presents to the ED with complaints of swelling to his LUE, face, and neck progressive over 5 days. He was seen at another ED 2 days prior and had an ultrasound of his LUE fistula as well as a duplex of his LUE which were unremarkable. A CT scan of the chest was ordered, revealing bilateral occluded brachiocephalic veins, which were treated in the interventional radiology suite with balloon venoplasty with resultant resolution of edema.
Read moreSubmitted by Richard Byrne, MD
Clonidine is a common medication prescribed for a variety of indications in both the adult and pediatric population. It's also on the "one pill can kill" list. Read on below for a high level overview of clonidine and how to manage an overdose.
Read moreSubmitted by Loran Hatch, DO
Which of the following medications is NOT associated with methemoglobinemia? (scroll down for answer)
A) Quinines
B) Benzocaine
C) Sodium Nitrite
D) Dapsone
E) Ciprofloxacin
Read moreSubmitted by Louis Argentine MD
Dr. Blake Siglock discusses the acutely ill pregnant women at today's CUH conference day.
Read moreSubmitted by John Cafaro MD
25 year-old female presents following a fall from her horse 5 days ago.
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Von Willebrand Disease is the most common of the inherited bleeding disorders. Do you remember that there is more than one "type" of Von Willebrand Disease? Remember which type you should NOT use DDVAVP on? Read on for a quick overview.
Read moreSubmitted by Louis Argentine MD
Which of the following lab results are consistent with Thrombotic Thrombocytopenic Purpura?
(scroll down for answer)
A) Decreased Platelets, Normal PT/INR, Normal Fibrinogen
B) Increased Platelets, Decreased PT/INR, Increased Fibrinogen
C) Decreased Platelets, Decreased PT/INR, Decreased Fibrinogen
D) Normal Platelets, Normal PT/INR, Increased Fibrinogen
E) Decreased Platelets, Increased PT/INR, Decreased Fibrinogen
Read moreSubmitted by Louis Argentine MD
Check out this lecture from by Dr. Jen Axelband from 2018’s C4 conference
Read moreSubmitted by Haney Mallemat, MD
An 81 yo female presents with altered mental status
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Submitted by Loran Hatch, DO
Lemierre Syndrome is thrombophlebitis with infectious involvement of the carotid sheath vessels and bacteremia. It is an extremely rare condition also known as jugular vein suppurative thrombophlebitis, postanginal sepsis and necrobacillosis, which usually affects previously healthy / young adults (approx. 20 y/o).
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Submitted by Louis Argentine MD