Quick and Dirty- ESCHARTOMY Full-thickness skin burns result in the formation of a tough, inelastic mass of burnt tissue/eschar. By virtue of this inelasticity, there may be accumulation of fluid within the confined anatomic spaces u…
STATUS EPILEPTICUS Persistent seizure >5minutes or recurrent seizures without return to consciousness in 5 minutes Initial Treatment Lorazepam (preferred over diazepam because longer t1/2 of distribution in CNS): 2-4 mg IV every 1…
Case courtesy of Dr. Jenny Sanders. 14F woke up this morning and collapsed due to leg weakness while on her way to the bathroom; is able to crawl but can’t walk; has some tingling in her LE. Was in usual state of health the day before. No s…
Thanks to Dr. Fleischman for this interesting case 62 year old woman with obesity, htn, hld, copd presents with sudden onset left upper quadrant pain, painful respiration. No f,n/v/d. Patient is noted to be in pain, tachycardic, norm…
Patient with history of hypertension presents periumbilical abdominal pain radiating to the back. Minimal abdominal tenderness, no rebound or guarding, though a pulsatile mass is felt. The following ultrasound is obtained: https://gmep.or…
This patient presented with right upper quadrant abdominal pain. There was RUQ tenderness on exam, but no fever, rebound or Murphy sign. A point-of-care ultrasound was performed to assess for signs of cholecystitis and the following image w…
18 y.o. male h/o asthma presenting with chest pain this AM. Pain was substernal, crushing with intermittent sharpness, and has been waxing and waning all day. CP is pleuritic, not positional. Also reports some malaise, decreased appetite, n…
The Association of American Medical Colleges (AAMC) has written an article about ultrasound education at the medical school level. In the current edition of their widely distributed publication The Reporter, they describe programs at the Un…
A 32-year-old man presented, complaining of a painful erection for the last 18 hours. His medical history was significant for sickle cell disease, insomnia and depression, for which he was taking quetiapine, bupropion, and prazosin. Examin…
To image something which moves, you must remain still. To image something which is still, you must move. If you think on this long enough, the point is self-evident and requires no explanation. Or, just see some examples below. We are prett…
SVC Syndrome Clarification Dr. Genes pointed out that while likely still the most common etiology of SVCS is cancer, the emerging etiology is Pacemaker implantation/extraction. I didn’t find evidence that it is the clear cut most com…
25 year old F with no pmh present with 3 days of fever, chills, body aches, sore throat. She is a school teacher and has had many of her kids out sick this week. Her vitals are stable, and she is in no acute distress. She is triaged to the…
Here are some Heme questions for your holiday weekend. Enjoy! 1. A 9-year-old female with mild type I von Willebrand’s disease presents with mild gingival bleeding after her first overly vigorous attempt to use dental floss. She stopp…
A 25 yo male with no PMH walks into your ED complaining of right neck pain, right shoulder stiffness, and cough x 1 month, no fevers chills. On exam his vitals are all within normal limits, exam is notable for right sided swelling and asym…
1. As a follow up to Raashee’s expertly presented Wide Complex Tachycardia Talk, here are 2 questions: SVT with RBBB or VT?
