Propofol is widely used in critically ill ED patients. Although rare, propofol infusion syndrome (PRIS) has been reported/described, and is something to keep in mind when administering this drug. What are the clinical features and risk fa…
Who “invented” CPR?
Nontraumatic intracerebral hemorrhage (ICH) is bleeding into the parenchyma of the brain that may extend into the ventricles and subarachnoid space. The consequences of ICH can be devastating. Although current practices vary, there are se…
Neurologic complications affect approximately 30-60% of allograft organ transplant recipients. What is the cause of these complications and what is important to do clinically for these patients?
What medications (OTC and prescription ) and/or household products can cause severe toxicity in small doses in younger children? What are their manifestations?
CASE: 38 y/o female marathon runner with 2 weeks of gradual onset of diffuse, progressively worsening, sharp, midthoracic, right paraspinal back pain. She reported occasional subjective fevers, but no pleuritic chest pain, bowel/bla…
The number of lung transplant recipients is increasing. With improved immunosuppressant medications, pts are living longer. The 5-yr survival rate is now approximately 60%. When evaluating a lung transplant pt who is < 1 yr following t…
PEARL Oct 2nd What are the features of innocent vs pathologic heart murmurs in children? What are the following murmurs, and what are their causes: Still’s murmur, physiologic systolic ejection murmur, supraclavicular arterial bruit, neona…
You are discussing the risk of intracranial hemorrhage with tPA administration with a patient and her family: 79 y/o Asian female NIH stroke scale of 7 Systolic BP of 140 Blood glucose < 100 What is her risk of symptomatic intracranial h…
38 yo M pmh brain ca currently under treatment p/w sob, tachpnea, and diaphoresis. You get an initial lactate 6.0 with a FS of 680. What is your diagnosis?
30 yo M pmh ESRD 2/2 to lupus nephritis on HD p/w sob, tachypnea, and hypertensive not responding to Nitro gtt, lasix, or bipap. what emergent procedure will most likely help this patient?
63 yo F p/w AMS noted as AAOx2 w/o focal deficits. Pt appeared cachetic, thin, dry with following VS BP 148/70, HR 142, T 96.4, rr 20, o2 98%. EKG showed sinus tachy with noted persistent lactate 4-5 despite aggressive IVF and remained AMS…
46 yo F pmh right carpal tunnel release 6 months ago presents with intermittent swelling, pain as in burning, feelings of warmth and cold, and hypersensitivity to right hand worsening over past 6 month. What is the diagnosis ? treatment?
3 month old infant that was born full term, NSVD w/o complications presents with seizure like activity to your ED. Pt is afebrile with normal vitals however lethargic and not actively seizing. Off the blood gas you note a Na of 113. What mu…
28 yo M with no pmh presents with HA, fever, and neck stiffness. He states that he recently came back from a week long business trip to Dallas. You get a CTH that is wnl and LP with results below. Pressure Normal Appearance Clear Protein…
