Whoops-a-daisy

A 52 year old male with a history of hypertension arrives to your ED presenting with similar symptoms as the patient you treated for a PE two days ago. CT scan is “rebooting.” So again, you empirically go for heparin. Soon after…

Pre-eclampsia: but why?

We tend to think of pre-eclampsia as this dangerous yet somewhat nebulous hypertensive disorder in pregnancy that = OB consult, delivery. But what is the pathophysiology behind pre-eclampsia? And why the heck does it place one at risk for e…

The proof is in the DOSING

You are working in the resuscitation bay when EMS rolls in with a hypotensive, hypoxic, meekly responsive febrile patient. You are preparing to intubate and the nurse asks what medications you would like (note: everybody is looking at you)….

Home for the holidays

Holidays can be a tough time. They can even drive one to the bottle. But which bottle? If you suspect your intoxicated patient may have ingested an alcohol other than ethanol but want some quick answers in the form of serum labs tests (aka…

Less TONSIL, more PERI

A 25 year old male walks into your fast track complaining of a sore throat. You note significant peritonsillar swelling and uvular deviation to the contralateral side. You suspect peritonsillar abscess, a diagnosis which is most often made…

Not your average food coma

You are working a resuscitation shift when EMS calls in a young comatose male, ETA 3min. Tryptophan! His mother probably gave him too many leftovers, he tried to decline but she insisted because Go-gurt does not make for a balanced diet. Ca…

Thanksgiving Aftermath

You’re working Black Friday when a young diabetic female arrives to your ED complaining of abdominal pain and lethargy after eating every carbohydrate and gram of fat in sight yesterday. Who could blame her? She also stopped taking he…

Who put nuts in the pecan pie??

Grandma made it back to Thanksgiving safe and sound. But now, alas, cousin Scooter, who seems oddly illiterate regarding his nut allergy, eats a bite of pecan pie. Thankfully, you have an epipen, inject his thigh, and save the day. However,…

Grandma v. Turkey…

Everyone is enjoying a fabulous Thanksgiving dinner when suddenly Grandma starts complaining that she can’t swallow, that something’s stuck, why didn’t you cut the turkey into smaller pieces, this is your fault, and now sh…

June 2024
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