A 63 year old male arrives via EMS in acute respiratory distress. Medics note he is in atrial fibrillation with a heart rate in the 150s. You ponder the age old question as you walk to the resuscitation bay: "Is the high heart rate causing the respiratory distress or vice versa?"
Read moreSubmitted by Sarah Perelman M.D.
A 51 yo female presents with abdominal pain
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Submitted by Abagayle Renko M.D.
Most patients presenting to the ED with a headache have a simple primary headache: tension, migraine, or cluster. Detecting the "other" etiolgies for headache, which can result in neurologic devastation or death, is often a diagnostic challenge. He we give some quick hits for one of the "can't miss" headaches, how it presents, and how to diagnose it.
Read moreSubmitted by Richard Byrne, MD
Quick up to date (2021) run down on how to treat common sexually transmitted infections seen in the emergency department!
Read moreSubmitted by Valeria Chew
A 56 yo F w/ hx of DM presents to the ED w/ several days of intermittent R sided headache associated with photophobia, blurry vision, nausea and myalgias.
Read moreSubmitted by Abagayle Renko M.D.
11-year-old boy previously health who presents with testicular pain. He had sudden onset of pain that started 6 hours ago. He rates it 8/10, states it has been constant since then and is non-radiating. He denies dysuria and similar pain in the past. He further denies testicular trauma and recent fevers. He had one episode of emesis while in the waiting room.
Read moreSubmitted by Hayat Khan, MD