An homage to my urologist husband: [spacer height=”20px”]A 30 yo male arrives to your trauma bay intubated after a high speed MVC. He has signs of head trauma, bruises and abrasions diffusely and…an erect penis. This shoul…
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…
A 36 year old male with a history of protein C deficiency (not on AC) is wheeled into your resuscitation bay tachypneic, tachycardic and hypoxic one week after a major surgery. You throw on your ultrasound probe and see a ballooned-out righ…
A classic tale: 24yoG2P1 at approximately 6 weeks by LMP presents with vaginal spotting. You perform your pelvic exam, noting scant bleeding and a closed os, followed by a bedside sonogram. But alas, you cannot find an IUP on your transabdo…
You call your COPD patient’s pulmonologist to chit chat about his current exacerbation and like a reflex, she recommends azithromycin. You’re like but what about antibiotic resistance? Does he really need antibiotics? What…
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…
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)….
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…
With the advent of sepsis protocol masterminding, lactate has elbowed out the white blood cell count along with other parameters to become our primary measure of badness. But as we all know, while lactate elevation may indicate the severity…
A 35 year old female with a history of headaches presents with….a headache. After a thorough history and neuro exam, you deem this a benign headache. What do you reach for? Toradol and reglan. But what if there was something else you…
