Matt Bai decided to get his cat a turkey for Thanksgiving and went off to Central Park with a bow and arrows to find one.  Unfortunately he just winged the biggest turkey, and it attacked and bit him.  He came into the ED wondering if he should get a rabies shot.  What do you think? […]

A 45M with no PMH is BIBEMS for AMS.  In the ED, he is obtunded with pinpoint pupils, respiratory depression, and an O2 sat of 90% on a NRB.  He does not respond to sternal rub.  His partner comes in and states that they were at a bar a few hours before, and the patient suddenly got […]

A 65M TCC resident with a PMH of HIV (CD4 count 24, VL 12K), cerebral toxoplasmosis in 2012, seizure disorder on keppra 1000mg BID, and endstage dementia was BIBEMS from TCC at noon for status epilepticus x 1.5 hours.  He had not had his antiepileptic meds changed recently, and he had had his morning keppra dose.  His last seizure […]

A 4 year old boy is brought into the peds ED for 4 days of profuse vomiting.  The mother reports that he has vomited 10-15 times per day, at first stomach contents but by now empty retching.  No F/C, no diarrhea, no urinary symptoms.  In fact, he seems to be urinating more than usual.  He […]

You’re working in the resus room, and a code stroke is called in.  She arrives, and rather than any weakness, numbness, or facial droop, you see an elderly, unkempt woman who looks like she’s made of stone.  Her mouth is open and drooling, and she severe cogwheeling when you try to extend her arms.  She does not know […]