Lara Silverman MD/MPH, Emergency Medicine PGY3 Dizziness is vague, subjective, and the differential is literally everything from “you’re drunk go home” to life-threatening. Classically, we’re taught that dizziness is separated into 4 categories: vertigo (“room-spinning”), presyncope (“lightheadedness”), disequilibrium (“I feel unbalanced”), and non-specific / other. However, placing a patient in one of these categories relies on a patient’s subjective description […]

Conference Summary: October 5th, 2022Psychiatry Day  Complied by Lara Silverman MD/MPH, Emergency Medicine PGY3 Alcohol Withdrawal with Dr. Olmedo Intro: The lecture starts with a story about “Jack, who had been drinking for 78 days” and then suddenly stopped drinking. Within 12 hours of his last drink, he became weak, sweaty, nauseous, tremulous, and started having […]

By Lara Silverman MD/MPH, Emergency Medicine PGY3October 2, 2022 Intro: Turns out most things in medicine are about acid-base disorders. A vent, understanding sepsis, kidney failure, respiratory failure, toxicology: so much of diagnosis and management alike comes down to acid-base. And while we’re not going to talk too much about equations, most of that stuff […]

By Lara Silverman MD/MPH, Emergency Medicine PGY3October 9, 2022 Intro: Let’s talk about the B-side.  The B-side can be a hard and scary place to work for many reasons. Not only are patients agitated or altered, but they also have a high likelihood of trauma and often have chronic disease at baseline.  I once had […]

Intro For the first pearl during our reign, I wanted to teach about the most dangerous thing I could think of. Hiccups. There are some dangerous etiologies out there so stay tuned. TR Pearls – <5 minutes – Often benign and self-limiting, but if persistent may be due to a medication, GERD, stroke, ACS or […]