A middle aged man p/w constipation x4days, no n/v/fever. He is on methadone 120mg PO qday, chronically, 2/2 h/o IVDU. He has tried lots of OTCs, as well as prune juice and metamucil w/o relief. How can you help?
A middle aged woman p/w R-shoulder pain after falling on her outstretched arm. You order a plain film to eval for fracture or dislocation. What do you see?
A teenaged woman presents at 32weeks gestation, c/o fingertip pain after experiencing a brief electric shock at home. How do you evaluate and care for this patient?
A middle-aged lady presents to the ED but won’t tell the triage nurse what’s wrong. “I need to see a doctor, is all.” Turns out she has a rectal foreign body. On xray it appears to be an apple. On digital exam you ca…
How does kayexalate work? Is it useful in the ED?
How do you evaluate for an ectopic pregnancy (versus an intrauterine pregnancy)?
On April 18 the FDA released an alert regarding Other-Sonic Generic Ultrasound Transmission Gel, manufactured by Pharmaceutical Innovations Inc. The ultrasound gel was found to be contaminated with Pseudomonas aeruginosa and Klebsiella oxyt…
A young man presents with a slam dunk appendicitis. You start IV abx, order pre-op labs and request surg to come see the patient. Surgery chats with the young fellow, lays hands on his abd and reviews the labs and CT. They recommend IV abx…
A young man is brought in by his buddy because he’s “freaking out.” He isn’t making any sense to you but expresses fear that he’s going to die. He is having visual hallucinations. The friend reports they were h…
Abscess: After incision and drainage, do you pack or not? What does the literature say?
