Sat, 06/13/2020 - 5:00am

A 52 year old mal

Read more
Fri, 06/12/2020 - 3:00am

A 72 y/o male with PMH type 2 diabetes, CAD, HFrEF, HTN, and HLD is admitted to the MICU for frequent neurologic monitoring after an endovascular thrombectomy for an acute ischemic stroke caused by thrombosis of the M2 branch of the left MCA. While reviewing his chart, you notice that the patient was recently admitted for 1 week about 10 days ago for dyspnea secondary to acute decompensated heart failure. You also note on his admission labs that he is newly thrombocytopenic, with a platelet count of 80,000. His last platelet count on discharge was 250,000, and he has never been thrombocytopenic before. What is causing his thrombocytopenia?

Read more
Wed, 06/10/2020 - 7:53am

A 62 yo M presents to the ED with 1 week of abdominal distension with associated nausea and vomiting. He has had only 2 small bowel movements in the last week. He denies abdominal pain. On exam, his abdomen is distended and rigid. An obstruction series is obtained and shown below.

Read more
Mon, 06/08/2020 - 5:00am

Last week we reviewed some causes of dental pain. Here we move into traumatic dental injuries, with an overview of types and management.

Read more
Sat, 06/06/2020 - 10:00pm

 

Read more
Fri, 06/05/2020 - 2:33am

 

A 52-year-old man with a history significant for hypertension presented to the emergency department with cough, dyspnea and fever. He progressed to severe acute respiratory distress syndrome (ARDS) secondary to COVID-19 pneumonia. He developed refractory hypoxemia with P/F < 60 mm Hg despite low tidal volume ventilation, paralysis, inhaled epoprostenol and prone positioning. Is this patient a candidate for venovenous ECMO and, if so, who should guide initiation and management of ECMO? The Society of Critical Care Medicine (SCCM) and Extracorporeal Life Support Organization (ELSO) recently published a position paper on the role of the intensivist in the initiation and management of ECMO. 

Read more
Thu, 06/04/2020 - 5:00am

Intra-articular lidocaine as analgesia for shoulder dislocation-reductions

Read more
Wed, 06/03/2020 - 11:30am

65 yo female presents with right ankle pain

Read more
Tue, 06/02/2020 - 5:11am

It is the middle of the Covid-19 pandemic. A 9 yo male presents with one week of flu-like symptoms. You wonder if this is just a viral syndrome or something more ominous as you head for the room....(it is something more ominous)

Read more
Mon, 06/01/2020 - 5:00am

Dental pain is a common chief complaint in the emergency department, but it can mean many different things.  Let's review some of the basics about causes of dental pain.

Read more

Pages