Internal Medicine

Critical Cases - Thyroid Myopathy!

A 36 year old male presents with complaints of swelling his his hands and forearms, as well as severe fatigue and muscle aches. He is in no distress and vital signs are unremarkable. "Time to put on my internal medicine cap!" you think as you sit down to take your history and puzzle out the differential diagnosis.....

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Critical Cases - Alcohol Withdrawal!

A 53 year old reported daily ETOH use presents via EMS for seizure at home. As you approach the stretcher you wrack your brain for the right treatment algorithm, realizing that this patient may die without the correct medications....

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Critical Cases - Back Pain Nightmare Diagnosis!

A 44 yo male who works as a construction worker presents with 2 days of lower back pain. Having seen literally hundreds of cases of benign musculoskeletal pain in the last year, you are pretty sure you can handle one more. But is there danger lurking behind this well appearing patient with normal vitals? Well, yes of course. Otherwise we wouldn't be covering it on EM Daily....

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