CXR’s can be misleading, some common points to be aware of: Erect vs supine (fluid layering): AP view can magnify the heart (PA vs AP): Rotation – are the spinous processes centered between the medial edges of the clavicles? Note how heart width changes with rotation. Penetration – vertebral bodies should be just visible behind […]

    A resident of ill-repute was minding his own business on the way to his shift when he was assaulted. He complains of nose pain and that conference is too early in the morning. The attending was anxiously awaiting the arrival of said tardy resident, and then was immediately seen as above. What is […]

Try Bret’s expert tips to improve RUQ view and finding the GB using the sonographic rib spreader! http://sinaiem.us/tips-and-tricks/improving-left-upper-quadrant-view

Chilly day, time to review frostbite recommendations….  

You have a patient sent by her PMD for a UTI. She had just received her culture results showing ESBL that is susceptible only to carbapenems. The PMD wants her admitted for IV antibiotics. She has no other symptoms. Is there a way to avoid this admission?

Rob Rogers gave a great lecture on aortic dissection at the NYU Med Ed conference yesterday. Here are the highlights: -not common, but it is a killer -classic presentation in 1/3 -aortic dissection can be subtle (isolated abdominal/extremity/back pain, syncope, hypotension, painless dissection) and you must think about the diagnosis -as per John Elefteriades (chief […]

Thank you for going for our click bait! Approximately 41,000 blood transfusions are needed daily in the United States. While transfusions are largely safe and save countless lives, here are five pearls you should know. 1. The most common adverse reaction to transfusion is a fever and is treated with supportive care such as acetaminophen. […]

A 50-year old man with atrial fibrillation and off of warfarin for the past 6 months comes to you with many complaints. But the one that catches your eye (pun intended. zing!), is that he complains of blurry vision. 1. What is the single most important test you must do on this patient? 2. Spoiler […]