We’ve all seen that movie where some old person coughs into a handkerchief and as the camera slowly pans away, there’s some blood stain. You know that guy isn’t making it to the end of the movie… Today, let’s talk about a less commonly featured troupe: Massive Hemoptysis Massive Hemoptysis is defined as hemoptysis > 1000ml […]

As it may become very apparent, I take a lot of photos of interesting eye pathology. So what do you think is going on here? What if I told you that this had been going on for the past few days and they had been using steroid drops in the eye? No prior surgeries in this eye.  […]

2 weeks ago, I had a patient presenting with an upper GI bleed. Despite aggressive treatment, the patient was still hypotensive and actively bleeding. Unfortunately, the GI fellow was on home call and further than expected from the hospital, but after telling him, “I’m placing a Blakemore,” he hurried in. That was a lie, I didn’t […]

What do you think is going on here? So if you were the resident who signed up for this patient what would you do? As may be obvious, this is herpes zoster ophthalmicus, which is a reactivation of the VZV in cranial nerve V ophthalmic division. It’s a can’t miss visual diagnosis. Patients most at […]