April 22nd, 2013

It has been a long, eventful week in the wake of the tragedies in Boston and to honor those who were affected by the attacks, I would like those who are able, to have a moment of silence at 2:50 PM.  To those further interested, below is the link to ‘The One Fund Boston’ toRead more

Pearl April 22nd, 2013

Good morning! Please see above for a response to last week’s tragedy.   44 yo female presenting with nausea, vomiting and abdominal pain. Patient is a chronic alcoholic with no other drug use admitted. Patient is tachycardic to 116 and hypotensive 90/68. She is alert and oriented x 3 but actively vomiting clear non-bilious andRead more

Sinai Em Pearl 04/11/2013

Oh bother *sigh* its Thursday April 11, 2013. Cloudy today 56 degrees with 30% chance of rain, going down to 44 degrees tonight with 60% chance of rain.      Let’s try to brighten up our day with another wonderful pearl by yours truly! 55 year old Caucasian male, presents with right shoulder pain after bicycleRead more

Bonus Peds Pearl

Summer!! I love summer!! Its a beautiful, gorgeous day in the big bad city! Beware the T-storms later tonight! Thanks to Dr. Elizabeth Weinstein from Indiana University School of Medicine for a riveting and wonderful lecture on potentially lethal diseases with easy-to-miss signs and symptoms. In the same vein, I would like to present aRead more

Pediatric 04/09/2013

Good morning, hope you all enjoyed last nights exciting NCAA Men’s Basketball National Championship. For those who are interested and wonder what I thought of it, please refer to bottom of page. Today its going to be a gorgeous 77 degree weather today, break out your sunscreens! Low tonight of 59. Tomorrow, high of 80Read more

Sinai Em Pearl 04/08/2013

Happy 70 degree weather day!!!! Break out the shorts!! Go Blue, baby!!! Exclamation points!!!!!   And now to our regularly scheduled program of Daily Sinai Pearls:   55 yo Filipino male with past medical history of Parkinson’s, hypertension and deafness presents with head laceration after mechanical fall, tetanus up to date. No lost of consciousness,Read more

Sinai Empearl 4/5/13- Opioid Reminders Courtesy Palliative Care

    Bonus Pearl of the day: Why do I go by Tish? I’m from North Carolina. In the South it’s quite common for individuals to “go by” their middle names. It’s not unusual in grade school for a teacher to start off the first day of class saying “let me know what ya’ll wantRead more

Sinai Empearl 4/4/13

Vasopressors and Inotropes in the Critically Ill Patient  RECEPTORS:  Alpha-1 adrenergic receptors are located in vascular walls, induces significant vasoconstriction  Beta-1 adrenergic receptors are most common in the heart and mediate ionotropy and chronotropy    Beta-2 adrenergic receptors in blood vessels induces vasodilatation  Dopamine receptors are present in the renal, splanchnic, coronary, and cerebral vascularRead more

Quick and Dirty- ESCHARTOMY   Full-thickness skin burns result in the formation of a tough, inelastic mass of burnt tissue/eschar. By virtue of this inelasticity, there may be accumulation of fluid within the confined anatomic spaces underlying the eschar potentially resulting in a burn induced compartment syndrome. Briefly, compartment syndrome is defined as a compartmentalRead more