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?
The Mount Sinai School of Medicine recently welcomed its incoming first-year class in its traditional White Coat Ceremony. In a day filled with inspirational talks by prominent faculty and medical leaders, students don their new white coats…
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 ACEP Emergency Ultrasound Section hosted its annual Ultrasound Management Course on Sunday October 7. This year’s course was organized by Vivek Tayal, Troy Foster and Bret Nelson. Special thanks to ACEP organizers Marilyn B…
Emergency physicians most frequently use pelvic ultrasound to confirm intrauterine pregnancy (IUP) in the setting of first trimester pregnancy complications. However estimation of gestational age is also described in ACEP’s ultrasou…
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…
Hopefully you are using ultrasound to guide your insertion of central venous catheters. Once they are in, you still have to suture them at some point. Straight suture needles are often used to secure arterial and venous catheters to the ski…
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…
The normal gallbladder wall should measure less than 3-4mm. It is recommended that this measurement be taken through the anterior wall of the gallbladder, since posterior acoustic enhancement will often make posterior measurements inaccurat…
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?
Ultrasound is quite sensitive in detecting even very small pleural effusions; it has been demonstrated to perform better than chest x-ray and nearly as well as CT scan. In order to assess for pleural fluid, the transducer should be directed…
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…