Post by @FTeranmd Image from Jacob et al. Heart Rhythm. 2011 Jun;8(6):915-22 We’ve all had a patient who shows up at the ED with a pacemaker or implantable cardioverter-defibrillator (ICD) that may be malfunctioning. The patient didn…
Post by @FTeranmd Clinical scenario: 72 yo F with history of lung carcinoma with permanent trachestomy placed four months prior presentation, brought by EMS with profuse, active bleeding from the stoma site. Patient is ventilator de…
57 yo M with PMHx of uncontrolled DM and HTN who presents with 3 weeks of intermittent visual problems. Patient reports he sees flashes on both left sides of visual fields in both eyes. He is also unable to process 3D spacing and has troub…
85 yo M with PMHx of CHF, paroxysmal atrial fibrillation and dual chamber PPM placed for sick sinus syndrome, who presents with lightheadedness, confusion and progressive lethargy x 1 day. At arrival to the ED patient hypotensive 70/30, bra…
A 32 yo M presents with ankle pain and swelling after forcefully externally rotating it while playing soccer. He is unable to ambulate. Ankle x ray is shown below. What other joint should you image?
A 3 year old M presents to the ED with lethargy. Fingerstick is 38. How do you give this kid sugar??
Classically presents with which triad of clinical features?
What lead level in blood requires chelation therapy?
1. In a patient with suspected meningitis, should you give dexamethasone? 2. In the same patient, how much time do you have after giving empiric antibiotics to perform your LP?
What is the significance of “cells” and “flare” seen on slit lamp examination?
Clinical Quality Review topics for September 2014 -After ruling out ectopic, involve OB in patients with 2nd trimester miscarriage (these patient are more likely to need an intervention/procedure), or in unwell patients with 1st trimester m…
A B
28 you F with no known PMH, p/w palpitations x 3 days after bus trip to Washington DC, states she is feeling “awful”, symptoms have been constant and worsened today. Also endorses b/l LE swelling, nausea, vomiting x1 per day, f…
