A Brief History of Today

By @BenAzan What pearl could I possibly find worthy of continuing tweets and dissemination? The last two posts, one of which was retweeted by both @M_Lin and @precordialthump (thanks!), are a tough act to follow. So first I thought about ma…

Predicting a Difficult Airway

By @BenAzan Today’s post on Resus.me by @cliffreid was yet another reminder of how challenging (if not impossible) it is to predict a difficult airway.  The study he quotes (1) looked at ~188000 intubations by anesthetists in Denmark….

How to Succeed in 2015

As the year is coming to an end, a great place to look for inspiration for 2015 is Academic Life in Emergency Medicine’s series “How I work Smarter“. I’ve been reading these and wanted to share some highlights. The f…

Wide Complex Tachy…a Case

A nurse hands you this EKG with a concerned look… She say it’s a 35 y/o man who is coming in for shortness of breath and palpitations since last night. The next question you ask is vitals? Yes! BP 96/57, HR 201 ,RR25, pO2 99 on…

Want to Get into Social Media?

Despite the fact that some at Sinai believe that social media is not essential for your education, others think it’s critically important. The concept is called FOAM for Free Open Access Medical education. You can read a full history…

Pittfalls in Dvt Management

You’re on your last patient of the day, starting to thinking about which type of sushi you’re going to order later, when the ultrasound comes back. Positive study, you were sure of it, after all, the patient had a hx of cancer a…

Yet Another Scary Ekg Finding…

@JoePinero As if there weren’t enough morphologies and subtleties in the EKG, here is another ekg finding that you should be aware of… de Winter T-waves 1-3 mm ST-depression upsloping at the J-point in the mid precordial leads l…

Complex Regional Pain Syndrome

@JoePinero 50 yo M hx of NIDDM, recent left shoulder surgery x 4 mo ago for rotator cuff tear, currently presenting with left arm pain from shoulder to hand with swelling and tightness of the left hand and fingers. Exam: Well-appearing male…

Don’t Forget About the Kids….

@JoePinero Quick Case: 17 mo M child presenting with painless bright red rectal bleeding x 1 day. Benign physical exam. Afebrile, with stable vitals and normal labs. Dx: Meckels Diverticulum T99 scan for diagnosis (Sensitivity 85-97%, Speci…

Prisoners Can Refuse Care Too

@JoePinero Prisoners can often cause a lot of ethical dilemma’s when attempting to treat them in the hospital setting. Often times, physicians are reluctant to allow prisoners to sign-out AMA. However, there have been several supreme…

Cardiology Board Questions

1. Which of the following is the earliest EKG finding in acute MI? A. hyperacute T waves B. ST elevation C. ST depression D. T wave inversion E. Q wave 2. Which of the followingis true regarding pediatric EKG analysis? (A) Left axis deviati…

Cannabinoid Hyperemesis Syndrome

@JoePinero – Cannabinoid hyperemesis syndrome (CHS) is a rare diagnosis to make but can save a lot of time and frustration if you can make it. It is typically seen in young males who are frequent users of marijuana, presenting with se…

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