Sarah Perelman M.D.

Critical Cases - Deadly Cause of Leg Pain!

A 69 yo male presents with EMS after a friend found the patient confused in bed, covered in feces. The patient's only complaint is leg pain. You quickly think through your differential diagnosis for deadly causes of leg pain as you approach the room. Is this patient hiding one of them???

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Critical Cases - Hypertensive Emergency!

A 48 year old male presents with complaints of blurry vision. His triage blood pressure catches your eye: 290/120. "Pretty high," you mutter to yourself "but am I supposed to treat it? If so, with what? How fast should that pressure come down?" Time for a crash review of hypertensive emergency....

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Critical Cases: Compartment Syndrome Due to DVT!

A 54 yo male with a recently diagnoised RLE DVT, currently on appropriate oral anticoagulation, presents with severe RLE pain. "Well this is easy...his leg hurts because of his DVT right? RIGHT????" Read on for a relatively rare complication and limb threatening complication of a common diagnosis....

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Critical Cases - Pulmonary Edema and Afib!

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?"

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