Case: 45yoF with myasthenia gravis presents in respiratory distress. She requires urgent intubation. Which paralytic will you use? Myasthenia gravis is an autoimmune neuromuscular disorder in which antibodies target nicotinic acetylcholi…
Case: You are working in the resus room, when a 65yoM h/o CAD, severe aortic stenosis, dilated cardiomyopathy (EF 15%), presents short of breath in extremis. VS: 75/60, HR 119 RR 24, T98.0, Sp02 94% on NRB He has rales to the apices of the…
Patients with lower quadrant pain should typically have gonadal examinations. There are relative exceptions–such as virginal women without history of pelvic examinations or IBD patients with symptoms very typical of previous IBD flair…
A 28 yoM comes in with hand pain after falling on an outstretched hand. His xray is as follows. What is the diagnosis?
CASE: 40yoM no PMHX with a swollen, painful right hip joint. Worsening x5 days. No history of prior episodes, no other joints involved, no fever, no trauma, no GU symptoms, no rash, no vision changes, no IVDU. On exam, pt is afebrile, nont…
26 yoF 36 weeks by dates presents to the ED in labor, and has a precipitous birth in the resus area. The infant is covered with a greenish liquid the consistency of split-pea soup. How do you address this?
Tip of the hat to Dr. Blaivas who forwarded the link to this free OB GYN ultrasound ebook. The book is a PDF download. Â The authors also maintain a fairly extensive YouTube Channel that is worth a look. Phil
CASE: 45F h/o ESRD on dialysis presents ped struck. Pt is obtunded, intubated for airway protection. CT head shows subdural hematoma with midline shift. Neurosurgery is activated. No antiplatelets or anticoagulants. Is this person coagulopa…
55 yoF h/o HTN presents BIBEMS with acute onset decreased level of consciousness, onset 3 hours prior to arrival. BP 220/140 HR 50 T 98.0 RR 10 SPO2 92%. Pt is obtunded, no localizing neuro findings. Pt intubated for airway protection. CT s…
