Internal Medicine

Critical Cases - Back pain emergency!

The overwhelming majority of patients with back pain have a benign etiology and require nothing more than pain control and time to recover fully. A good emergency medicine physician, however, should always keep in mind the "can't miss" diagnoses and take a careful history focusing on "red flag" symptoms and risk factors. Failure to make the diagnosis in our patient today would result in irreversable paraparesis, incontinence, and impotence. Read on to see why!

Category (Day): 

Critical Cases - Epidural Abscess Emergency!

A 61 yo male presents to the ED for the second time with complaints of back pain. While the overwhelming majority of cases of back pain are benign, there are a few "can't miss" causes which will result in paralysis if not diagnosed early. You ponder these diagnoses as you make your way to the patient's room...

Category (Day): 

Board Review: Attack of the Bugs

 

A 25-year-old male presents to the ED with fever associated with severe arthralgias and a retro-orbital headache for the past 3 days after returning from a trip to Thailand. On exam he appears flushed and uncomfortable. Labs are notable for thrombocytopenia. What is the treatment for this diagnosis?

Category (Day): 

Critical Cases - Hyperkalemia Emergency!

A 56 year old male presents to the ED with confusion and abdominal pain. You notice a fistula in his upper extremity. A tech hands you his triage ECG and you scrutinize it for the tell-tale signs of a common, life-threatening diagnosis in hemodialysis patients, while wondering what the initial steps in management are....

Category (Day): 

Pages