*Champagne Tap*

Happy New Year SinaiEM! In keeping with the holiday spirit, today’s pearl is a bit about spinal taps, aka Lumbar Puncture. First is a review of what findings you would see for our most common differential diagnosis, and it is followed…

Tentorial Subdural Hemorrhage

Tentorial/Peritentorial Subdural Hemorrhage – rare, but this is what they look like on CT. They may resemble intraparenchymal bleed on CT but MRI can confirm exact location with regard to the tentorium. As a reminder, the tentorium is…

Post Christmas body weight

Now that you’ve gained a few extra pounds after holiday meals, or let’s say you gained 50lbs, should that change your ventilator settings if you get intubated?   Answer: No. In order to avoid lung injury,  critical care lit…

Doc, I’ve got this rash…

  Your 16 yo cousin comes to you with a one-week history of sore throat, difficulty swallowing and painful lesions of his lips, oral mucosa and oropharynx. He also has what he calls “blisters” on his hands. What does he have?   An…

Decorating for the Holidays!

Your dad wanted to make this holiday season extra special, so he decided to paint the house in candy-cane pattern. The intermittent red and white stripes were so disorienting, that he mistook his paint thinner for his nalgene, and took a bi…

Whoops-a-daisy

A 52 year old male with a history of hypertension arrives to your ED presenting with similar symptoms as the patient you treated for a PE two days ago. CT scan is “rebooting.” So again, you empirically go for heparin. Soon after…

Pre-eclampsia: but why?

We tend to think of pre-eclampsia as this dangerous yet somewhat nebulous hypertensive disorder in pregnancy that = OB consult, delivery. But what is the pathophysiology behind pre-eclampsia? And why the heck does it place one at risk for e…

The proof is in the DOSING

You are working in the resuscitation bay when EMS rolls in with a hypotensive, hypoxic, meekly responsive febrile patient. You are preparing to intubate and the nurse asks what medications you would like (note: everybody is looking at you)….

Home for the holidays

Holidays can be a tough time. They can even drive one to the bottle. But which bottle? If you suspect your intoxicated patient may have ingested an alcohol other than ethanol but want some quick answers in the form of serum labs tests (aka…

December 2015
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