CXR’s can be misleading, some common points to be aware of: Erect vs supine (fluid layering): AP view can magnify the heart (PA vs AP): Rotation – are the spinous processes centered between the medial edges of the clavicles? Not…
A resident of ill-repute was minding his own business on the way to his shift when he was assaulted. He complains of nose pain and that conference is too early in the morning. The attending was anxiously awaiting the arrival o…
Try Bret’s expert tips to improve RUQ view and finding the GB using the sonographic rib spreader! http://sinaiem.us/tips-and-tricks/improving-left-upper-quadrant-view
Chilly day, time to review frostbite recommendations….
Many clinicians are challenged when evaluating patients for perisplenic fluid as part of the FAST or RUSH examination. Here are some common problems and how to fix them. Fix probe location Make sure you are holding the probe in a longitudi…
Bret Nelson and Felipe Teran took part in an incredible conference just outside of Stockholm, Sweden. Over one hundred participants and twenty faculty attended this sold-out conference at the Hasseludden Yasuragi Japanese spa . Among the lu…
You have a patient sent by her PMD for a UTI. She had just received her culture results showing ESBL that is susceptible only to carbapenems. The PMD wants her admitted for IV antibiotics. She has no other symptoms. Is there a way to avoid…
Rob Rogers gave a great lecture on aortic dissection at the NYU Med Ed conference yesterday. Here are the highlights: -not common, but it is a killer -classic presentation in 1/3 -aortic dissection can be subtle (isolated abdominal/extremit…
Thank you for going for our click bait! Approximately 41,000 blood transfusions are needed daily in the United States. While transfusions are largely safe and save countless lives, here are five pearls you should know. 1. The most common ad…
A 50-year old man with atrial fibrillation and off of warfarin for the past 6 months comes to you with many complaints. But the one that catches your eye (pun intended. zing!), is that he complains of blurry vision. 1. What is the single mo…
