Richard Byrne, MD

Critical Cases - Spontaneous Bacterial Peritonitis!

A 58 year old man with a history of stage IV pancreatic adenocarcinoma, currently on chemotherapy, presents with chief complaint of RLQ abdominal pain. He appears in severe pain as you enter the room and his abdomen appears disteneded and stretched tight. Small bowel obstruction? you think as you approach the bedside. Not so fast!

Category (Day): 

Critical Cases - Painless Vision Loss (With Awesome Eye Ultrasound!)

A 35 yo male with a hx of NIDDM presents with 4 days of painless loss of vision in a portion of his left eye. "Uh oh....eyeball stuff..." you think as you head towards the room. Then you remember to grab your trusty ultrasound machine....

Category (Day): 

Critical Cases - Diphenhydramine Overdose!

A 23 year old female is brought in by a friend after an intentional overdose of approximately 25 tabs of diphenhydramine one hour prior in a suicide attempt. Which toxidrome is that again? What do I need to be worried about? Is there an antidote??? Read on for answers!

Category (Day): 

Critical Cases: Orbital Compartment Syndrome

A 31 yo male presents after assault. Walking into the room, you immediately notice marked edema around his left eye. He also seems restless and agitated and is pulling away from staff attempting to obtain vital signs and obtain IV access. Read on for pearls regarding this patient's vision threatening injury!

Critical Cases: Unexplained dyspnea on exertion in a healthy young physician....

Think just because you are a young, healthy physician that you are invinceable? Read this post and remember that we are vulnerable too...even more so because we often refuse to acknowledge when we are sick. This week's Advanced Practice topic comes to us courtesy of a Cooper EM alum. The story is told with full permission from the patient, his wife, though names are omitted to prevent any possible HIPPA entanglements!

Category (Day): 

Critical Cases - Tension Pneumothorax!

A 76 yo female with a history of Stage IV breast Ca with metastasis to the lung presents to the ED with acute shortness of breath 10 hours after an outpatient placement of a right sided PleurX chest tube for drainage of recurrent malignant effusion......

Category (Day):