Internal Medicine

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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Back to Basics: Fever, Cough, SOB

A patient comes into the ED with a high fever, shortness of breath, mild headache, diarrhea, and general malaise. It’s 2021… so naturally, the ‘COVID alarms’ start sounding in our heads. But if it were that simple, we probably wouldn't be posting about it, would we?

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Critical Cases - Thyrotoxic Periodic Paralysis

A healthy 30 yo male p/w cc of generalized weakness and pain for several hours. But generalized weakness and pain can be about 2 million things! you bemoan internally as you sign up for the patient. Hang on, what's this? Admitted previously for severe, unexplained hypokalemia? The plot has thickened....

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