Case: A 74 yo male patient with a PMH significant for rectal carcincoma (s/p chemotherapy and radiation; refused surgery) arrives with chief complaint of rectal pain and general malaise for two week duration. He notes urinary and fecal incontinence over this same time period. He also notes intermittent fevers.
Read moreSubmitted by Lauren Murphy, MD
The anatomical location of a posterior myocardial infarction makes it's diagnosis not readily apparent. Intimate knowledge of standard and posterior ECG manifestations of posterior myocardial infarctions is crucial to picking up on this potential fatal pathology. This post aims to provide tips for evaluating patients for posterior myocardial infarction.
Read moreSubmitted by Anita Bhamidipati, MD
Beyond mortality, the plague of bacterial meningitis on the body and central nervous system has been well described. Included in post-meningitis neurologic sequelae are sensorineural hearing loss, seizures, and focal neurologic deficits. Early administration of dexamethasone serves to reduce CNS cytokine production and limit the severe inflammation contributing to the development of these long-lasting neurologic effects. Furthermore, appropriate timing and dosing of dexamethasone therapy in these patients is crucial and can be easily overlooked.
Read moreSubmitted by Joseph Cesarine, MD
A high-yield review of the past week on EMDaily.
Read moreSubmitted by Joseph Cesarine, MD
During Week 12 of this NFL season, Washington Redskins tight end Jordan Reed injured his shoulder while attempting to catch a pass in the endzone against the Dallas Cowboys. While Reed continued to finish the first half, he was diagnosed with an AC joint separation at halftime. This posts will give an review of the evaluation and management of AC joint separations in the ED.
Read moreSubmitted by Andrew Nyce, MD
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare but significant causes of morbidity and mortality in both traumatic and medical ICU patients.
Read moreSubmitted by Grace Lam, MD
The differentiation between peripheral vertigo and central vertigo can be exceedingly difficult as symptoms of both clinical entities largely overlap.
Read moreSubmitted by Joseph Cesarine, MD
In the setting of a severe asthma exacerbation that is refractory to medical mangagment and noninvasive ventilation, mechanical ventilation can be life-saving.
Read moreSubmitted by Samuel Eldrich, MD
The mild, moderate, or severe asthma exacerbation is cemented in the practice of Emergency Medicine. As a provider of this great speciality, one should be intimately familiar with the range of therapies employed. The goal of this post is to provide a high-yield review of the therapies we use (or sometimes use) while treating these patients.
Read moreSubmitted by Ross Kalman, MD
A high-yield review of the past week on EMDaily.
Read moreSubmitted by Joseph Cesarine, MD