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 ...
Submitted by Loran Hatch, DO
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.....Read more
Submitted by Richard Byrne, MD
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)?Read more
Submitted by Emily Damuth, MD
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...Read more
Submitted by Karen O'Brien, DO