Of Things to Come…

What ligament is commonly injured in the condition represented by the above xray. A.UCL B.PCL C.ACL D.LCL E.RCL   Answer : A.  UCL.  This patient has a skier’s or gamekeeper’s thumb.  The ligament damaged or torn is the Uln…

Rectum?

  A 70 year old male with a history of chronic constipation presents with abdominal pain.  The patient has normal vitals.  The xray below is taken.   What is the treatment? A. Lactulose B.Straight to the OR for operative managemen…

Give Me a Hand Here

You are caring for an alcoholic well known to your emergency department.  He presents with intoxication.  His labs are normal, except for an EtOH level of 400.  You monitor him for 8 hours and feed him.  As you’re getting ready to dis…

A Shocking Development

A 45 year old male playing tennis is struck by lightning and witnessed by bystanders.  He is thrown several feet.  He appears to be in cardiac arrest and CPR is started.  After 5 minutes EMS arrives.  His initial rhythm is asystole.  His pu…

You are currently treating a patient in the ED for a TCA over dose.  She has received bicarb, but go into a sustained ventricular tachycardia, with pulses.   What is the next medication of choice A. Amiodarone B. Propranol C. Electricity D….

Wha Happened?

A 19 year old female with a pmh of acne presents with the Emergency Department for the second time in 3 months with a complaint of epigastric pain.  She states that the last episode resolved after 3 without speaking to her doctor.  Her pain…

Chest Pain

A 65 year old Female Presents to the ED with a complaints of severe chest pain. Her medical history is significant for HTN, DM, HLD. The patient states the pain started after she was told Derek Jeter was going to retire Her EKG is below As…

Whats the Difference?

What is the Differential Diagnosis for the following EKg         Differential Diagnosis of ST Elevation   1. Myocardial Infarction 2. Printzmetal’s angina 3. Male Pattern – being a man – the more manly, the hi…

Kitty Bites Cat Lady

30 yo F presents c/o bite wound to her face by her pet cat. The cat was nervous because she was in a new home, otherwise the cat did not exhibit any unusual behavior and has all its vaccines. The patient is uptodate with vaccines as well. T…

Can I Use That Central Line?

All of us have placed central line before.  You enter the vein under ultrasound. The wire threads easily, or maybe there is a little resistance, but the wire passes anyway.  You dilate, place the catheter and suture it in place.  You then o…

Last days of the stethoscope?

In the current issue of Global Heart (journal of the World Heart Foundation), several Mount Sinai authors have published articles on the use of point-of-care ultrasound. Phil Andrus wrote about focused cardiac ultrasound, Jennifer Huang co-…

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