Ketofol, Propofol, or Ketamine + Propofol? In a recent study published in Annuals of Emergency Medicine, Ketofol (1:1) vs. Propofol alone were studied for ED procedural sedation and analgesia. The two agents were compared for adverse respir…

In ED, we often encounter patients with known HIV infection but unknown CD4 count.  Any quick way to estimate the CD4 count so we can use it to guide treatment? Thanks to Dr. Jacob Isserman, who recommended a retrospective cohort study publ…

24 year-old male, presented with multiple painful genital ulcers.  Herpes or chanchroid?  This is a question that came up during our most recent Core Didactics. Take a look at the pictures.  Which one is which? Herpes – caused by Herpes Sim…

A 60 yo F with sudden onset loss of vision in right eye, painless.  Proceeded by a few episodes of amaurosis fugax. Physical exam: pupils appear normal on initial inspection, however afferent pupil defect noted. Fundoscopic exam: cherry red…

55 Chinese woman, no PMH, no meds.  P/w epigastric discomfort x 2 weeks, not responding to Pepcid Maalox.  Presented to Elmhurst ED for worsening epigastric discomfort and generalized weakness.  No fever/chill. + Mild dry cough.  No chest p…

June 2013
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