A 36 year old male presents to your resus bay complaining of allergic reaction, took first dose of Bactrim last night, started having pruritis, chills, body aches last night and now entire face, chest and back are erythematous and warm. No…
Thanks to Dr. Glassberg for this case: A middle aged patient with pmh of htn, remote cva with minimal left sided deficits is brought in by wife after fall while intoxicated. Wife is concerned because patient falls frequently x years but now…
Thoracic sonography is one of the most rapidly growing areas of emergency and critical care ultrasound. One very important emerging indication is to assess for lung consolidation. The characteristic appearance of consolidated lung is very s…
This core didactic session recap is devoted to renal ultrasound. Point-of-care ultrasound uses focused clinical questions to guide management, and our didactic session use focused clinical questions to guide discussions of key literature. D…
Bonus Pearl – For the previously missed one… 70 y/o M presents with flashing lights and floaters in R eye. He also notes decreased vision in the same eye. R eye is painless and not TTP. No swelling noted. Visual acuity is…
The toxidrome of which hypertensive medication can be confused with opioid overdose?
We already know it is helpful to use ultrasound to guide placement of central venous catheters. How can we use ultrasound to help confirm proper placement of an internal jugular catheter? There are several methods which have been describe…
20 y/o M with PMHx of acne presents with severe HA. Feels as though HA is behind eyes. Family says that he’s been taking some new medicine for acne. Labs notable for abnormal lfts and elevated calcium. HCT was negative and lumbar…
60 y/o F with PMHx of HTN and DM presents after striking head on piping in garage ~1 hr prior. Pt was standing up after getting out of a car and walked into pole. Remembers incident fully. Currently complaining of dizziness, mild tempora…
Happy Turkey Day We’ve all seen the patient who comes in complaining of chest pain with a left bundle branch block pattern (LBBB). Many times we don’t have an old EKG to compare. Just as a review, a LBBB presents difficulty si…
Buckyballs are extreme magnets marketed to adults. There have been several case reports of intestinal perforation following ingestion of multiple balls. The magnets stick together through intestinal wall resulting in perforation. Ingesti…
If you see a patient who has been involved in a physical altercation make sure to check their hands for signs of abrasions/lacerations as these may represent “fight bites”. If you seen any damage to the skin you should treat th…
A prior post discussed the optimal imaging angle for 2D scanning. Quick quiz: what is that angle? 45 degrees 90 degrees 180 degrees 360 degrees In this post we’ll illustrate the optimal imaging angle for Doppler evaluation. Let’…
Impetigo is a type of bacterial rash normally occuring on the face and extremities that progresses from papules to vesicles to pustules then crusts. There are two main sub types of impetigo: non-bullous and bullous (caused by S. aureus tha…
