Today’s post is inspired by real-life events and comes with a video (consent given by the patient and providers). The case: 29M presents with dysphonia, odynophagia, and drooling. He is hypertensive, with a low-grade fever, but he is maintaining his airway and has a good respiratory rate/o2 saturation. Examination of the posterior oropharynx shows a […]

THE EYE EXAM Keep it basic… APD Intra-ocular Pressures: Tono-pen v Applanator (Goldmann) Visual Acuity or be a Slit Lamp KWEEN Move outside in: Lids → Eyeball Lids: ducts, eyelashes, orbital lesions or findings EYE: Full EOM assessment and conjunctival assessment Anterior: Cornea for opacity, irregularities, fluericin staining for abrasions/ulcerations. Anterior chamber assessment for “cell […]

Neonatal Resuscitation. (Some descriptors for reference: Terrifying. Scary. Fear-inducing. Horrific. Chilling.) But fear not! Your TR pearl today is brought to you by the NICU rotation + Jillian Nickerson/T.Webb doing some excellent preparatory work for/with you. So there’s this thing called the NRP — Neonatal Resuscitation Program. It different from PALS mainly that it pertains […]

For those of you who remember Super Mario Bros… how awesome was it to gobble up that red and white mushroom gliding along the ground and get huge for a few seconds? The result of consuming this mushroom was a bigger and badder Super Mario who was ready to break bricks and take names. However, the color and […]

So you’re in the ED and a G9P8 patient at 40w2d rolls in with contractions every 3 minutes. Before sending the patient upstairs you do a brief examination and you see this…   You deliver the baby flawlessly and even protect the perineum like a pro; however, the baby is quickly followed by the placenta […]