Conference Summary: October 5th, 2022Psychiatry Day Complied by Lara Silverman MD/MPH, Emergency Medicine PGY3 Alcohol Withdrawal with Dr. Olmedo Intro: The lecture starts with a story about “Jack, who had been drinking for 78 da…
By Lara Silverman MD/MPH, Emergency Medicine PGY3October 2, 2022 Intro: Turns out most things in medicine are about acid-base disorders. A vent, understanding sepsis, kidney failure, respiratory failure, toxicology: so much of diagnosis and…
By Lara Silverman MD/MPH, Emergency Medicine PGY3October 9, 2022 Intro: Let’s talk about the B-side. The B-side can be a hard and scary place to work for many reasons. Not only are patients agitated or altered, but they also have a high li…
Intro For the first pearl during our reign, I wanted to teach about the most dangerous thing I could think of. Hiccups. There are some dangerous etiologies out there so stay tuned. TR Pearls – <5 minutes – Often benign and se…
tl;dr (<5 minutes) Quantitative end tidal: Partial pressure of CO2 in the gas sample at the end of expiration. You get a numeric value and a wave-form. EtCO2 is typically lower than PaCO2 due to anatomical and pathological dead space. No…
Intro: Stroke is the third leading cause of death and number one cause of disability in the United States. Classically, strokes present with sudden onset focal neurological deficits in a vascular distribution and need prompt assessmen…
Intro You are working a BNT shift at Elmhurst and you pick up a patient who is complaining of neck pain after a fall. Do they need to be in a c-collar? Should you order a CT c-spine? What are the unstable c-spine injuries you are looking fo…
Is this monkeypox? But…what is monkeypox and what does it look like? What else should I consider on my differential? Is there a treatment? What do I do to treat it?
CSF shunts – these are the most common pediatric neurosurgery procedure done in the United States. While very common, these also have the highest rate of neurosurgical complications. About 50% fail within the first year, and the median survival of a shunt is usually 8-10 years, so a patient can expect 2-3 shunt revisions over the course of 20 years.
tl;dr – Story Time (<5 minutes) Patient is a 59 year old MTF with a PMH of HIV (undetectable viral load) and HTN (on amlodipine) BIBEMS for evaluation of “pinching” chest pain and right flank pain. EKG in triage revealed sinus brad…
Intro: You are at Elmhurst and it’s your first cardiac shift ever. EMS rolls in, “Hey Doc, this patient is in a-fib.” The patient’s heart is beating fast. Your heart is beating fast. He is a 70 year old patient with a PMH of HTN, CKD, and…
You’re at Sinai – and your patient is a renal transplant patient. What do you do? “Don’t you just call renal transplant?” Yes, you should definitely call them. But there’s other things to consider – see below for today’s TR pearls.
Why Paxlovid: According to Pfizer’s clinical trial data from 2021 (participants enrolled by 09/29/2021) which it used for FDA approval, subjects who took Paxlovid were 89% less likely to develop severe illness and death from COVID than thos…
Vital Signs: HR and BP Traditionally in medical school we were taught that physiologic changes in pregnancy caused a drop in BP and an increase in HR but generally it was not well-defined if a new range of criteria was required to be consid…
Myasthenia Gravis: Disease Overview Who: Bimodal distribution. Ages 20-40 (female predominance) and 50-70 (male predominance). Increased risk of onset in postpartum period; juvenile and congenital forms possible What: At the NMJ, Ach recept…
