Pearl 12/27

A 32-year-old man presented, complaining of a painful erection for the last 18 hours. His medical history was significant for sickle cell disease,  insomnia and depression, for which he was taking quetiapine, bupropion, and prazosin. Examin…

A Clarification and a Correction

SVC Syndrome Clarification Dr. Genes pointed out that while likely still the most common etiology of SVCS is cancer, the emerging etiology is Pacemaker implantation/extraction.   I didn’t find evidence that it is the clear cut most com…

Influenza on the Rise

25 year old F with no pmh present with 3 days of fever, chills, body aches, sore throat. She is a school teacher and has had many of her kids out sick this week. Her vitals are stable, and she is in no acute distress. She is triaged to the…

Heme Questions

Here are some Heme questions for your holiday weekend. Enjoy! 1. A 9-year-old female with mild type I von Willebrand’s disease presents with mild gingival bleeding after her first overly vigorous attempt to use dental floss. She stopp…

Pearl for 12/21

A 25 yo male with no PMH walks into your ED complaining of right neck pain, right shoulder stiffness,  and cough x 1 month, no fevers chills. On exam his vitals are all within normal limits, exam is notable for right sided swelling and asym…

Derm Pearl

A 36 year old male presents to your resus bay complaining of allergic reaction, took first dose of Bactrim last night, started having pruritis, chills, body aches last night and now entire face, chest and back are erythematous and warm. No…

Pearl 12/17

Thanks to Dr. Glassberg for this case: A middle aged patient with pmh of htn, remote cva with minimal left sided deficits is brought in by wife after fall while intoxicated. Wife is concerned because patient falls frequently x years but now…

Fractures and Nerves

Board review: fractures/dislocations and associated nerve injuries: Acetabular fracture – sciatic nerve Anterior shoulder dislocation – axillary and musculocutaneous nerve Humerus – radial nerve Elbow dislocation – ulnar or median nerve Ole…

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