A 70 yo female s/p thyroidectomy 1 month ago on supplements presents to the ED complaining of intermittent nausea and vomiting for the past week with intermittent abdominal pain today. She reports that stools in her colostomy bag are now hard x 3 days. You get some labs and the basic metabolic panel shows...
This post was inspired by a recent clinical case in our department. A 7 week full term infant s/p spontaneous vaginal delivery with a normal maternal prenatal screen and course presents to your ED for not eating x 12 hours. On exam, you note decreased spontaneous movements, a weak suck and a weak cry noted. Vitals are normal. What's the diagnosis?
Pregnant and vomiting is a common ED complaint. Read on below for a great overview of hyperemesis gravidarum.
Who is Tim and what is the deal with his hands?!?! Read on below for a review of the differential diagnosis of patients who present altered found to be hyperthermic.
Wondering what a BRUE is? Read on below for a quick summary.
A 92 yo female presents to the ED complaining left eye pain and bleeding, onset this am. Patient has hx of left corneal transplant in 2014. Patient with no vision in eye, also unable to differentiate light vs dark.
You are working a Sunday shift when the outpatient labs are closed, when a newborn arrives for their bilirubin check. Checking the lab is easy enough but do you know what to do with the result?
Ultrasound guidance has undeniably revolutionized IV access and is an incredibly useful skill for the ED physician. The following are by no means a comprehensive guide to the procedure but rather 10 tips for small changes that are often overlooked and can make a huge difference. If you have trained with ultrasound guided IV’s and feel comfortable already with your own style, this may not be as helpful for you. For the medical students, interns, and perhaps "less young attendings" that did not have a vascular probe attached to their hip during residency, read on!
Wounds sustained from animal bites are a common ED complaint. Read on below for an approach to bites that reviews when/how to close, use of antibiotics, when to give tetanus and indications for rabies prophylaxis.
Our post last week focused on some of the physical exam findings of a patient in respiratory distress. Read on below for a brief overview of Bronchiolitis.
