Unstable C-Spine Fractures

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…

To send home or not – AC in nephrotic syndrome

This deep dive came from a question posed during a morning report by Jackson. Jackson presented the case of a patient presenting with a swollen penis at MSBI, found to have low albumin and diagnosed with nephrotic syndrome. These patients a…

Blood on the Dance Floor

We’ve all seen that movie where some old person coughs into a handkerchief and as the camera slowly pans away, there’s some blood stain. You know that guy isn’t making it to the end of the movie… Today, let’s t…

What with all these eyes?

As it may become very apparent, I take a lot of photos of interesting eye pathology. So what do you think is going on here? What if I told you that this had been going on for the past few days and they had been using steroid drops…

Serotonin Syndrome

Agents that Can Precipitate Serotonin Syndrome Cocaine MDMA Tramadol Cyclobenzaprine Dextromethorphan St. John’s Wort MAOI Fentanyl Treatment for serotonin syndrome involves supportive care, discontinuing the offending agent, and prov…

June 2023