Despite the fact that some at Sinai believe that social media is not essential for your education, others think it’s critically important. The concept is called FOAM for Free Open Access Medical education. You can read a full history of the term here. If you are new to the game, here are a few pointers to […]

You’re on your last patient of the day, starting to thinking about which type of sushi you’re going to order later, when the ultrasound comes back. Positive study, you were sure of it, after all, the patient had a hx of cancer and 3 days of progressive leg swelling and pain. He looked like this: […]

Question: -In acute stroke, does the addition of intra-arterial management improve outcomes compared to usual care? Methodes:  -Multicenter, randomized, open-label (but blinded end points) in the Netherlands. 502 patients in 16 centers. -Comparing: (comparing intra-arterial intervention within 6 hours + usual care) vs. usual care. -Required a radiologically proven intracranial occlusion for study eligibility -Intervention was arterial […]

Your 60 year old patient says he feels horrible. Fever, chills, body aches. His grandson has similar symptoms last week. His exam is significant for fever of 102, P105, 140/76, SpO2 97%,  upper respiratory congestion, with clear lungs, normal heart sounds and benign abdomen. Your attending is concerned he has the flu, says: “Hey, lets […]

@JoePinero As if there weren’t enough morphologies and subtleties in the EKG, here is another ekg finding that you should be aware of… de Winter T-waves 1-3 mm ST-depression upsloping at the J-point in the mid precordial leads leading to tall symmetric T-waves No large studies on the topic Several small case series show correlation […]