Thanks to Dr. Kedia for today’s daily pearl: you have a patient with suspected anticholinergic overdose and a prolonged QRS. You give bicarbonate and it normalizes. You want to give physostigmine, but don’t know the contraindications…… The contraindications for physostigmine are: Asthma, Gi/Gu obstruction, use of choline esters or depolarizing neuromuscular blockers. Additional concerns are: […]

A young woman presents with dysfunctional uterine bleeding. Exam is unremarkable and she has no concerning medical history. She has not symptoms of anemia. She asks about medications to control the symptoms.

A 50 year old male presents with sudden onset of severe right scapular / shoulder pain of 4 days duration. He denies cervical neck pain, no history of trauma, no recent surgeries. No fever/chills and no bad habits. On exam you note full ROM of the upper extremity, grip strength is normal however he is […]

It’s time to start studying for the in-service exam. Eponymous fractures are some of the easier points. What are the two more common eponymous fractures of the forearm and how can you remember them?

Premature neonate resuscitation pearls courtesy of Dr. Jennifer Sanders. Neonates have a high surface area to volume ratio and thin underdeveloped skin – this results in rapid heat and fluids loss. There are many documented ways to maintain thermoregulation but plastic is a great choice – including a ziploc bag.

A young emergency medicine nurse asks you to take a look at a rash she has developed over the last 2 weeks. She  noted a single lesion on her back which is painless and not pruritic approximately 10 days ago (see below). She developed another rash along the bilateral chest which is pruritic and erythematous […]

A 45F with a PSH of silicone breast implants in ’99 comes in to the ED after slipping on some ice and falling onto her chest.  She is concerned that an implant broke and that she’ll “get blood poisoning or cancer” if the implant isn’t taken out right away.  What is the appropriate management of […]