*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…

December 2015
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