Central Line Week TR Pearl Series (all three pearls combined for this post) by Ryan LeBuhn, PGY-3 Informed Consent I once described the risks of a procedure so thoroughly that the patient no longer wanted the procedure, though avoiding the…
Infectious Disease
Is this monkeypox? But…what is monkeypox and what does it look like? What else should I consider on my differential? Is there a treatment? What do I do to treat it?
Why Paxlovid: According to Pfizer’s clinical trial data from 2021 (participants enrolled by 09/29/2021) which it used for FDA approval, subjects who took Paxlovid were 89% less likely to develop severe illness and death from COVID than thos…
Super cool case, admittedly, maybe not a super high yield diagnosis BUT, I hope we can all agree, still very dope. Case: CC: 46yo M p/w worsening b/l vision over 1mo, now blind. Vitals: WNL PMHx: L eye global rupture ~6mos ago 2/2 nail pen…
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 divisi…
Shoutout to Dr. Anthony Torres who presented a great case on Epliglottis! Here are the main takeaways: Epiglottitis is now primarily an adult diagnosis. The vaccine to H. Flu has largely eradicated pediatric epiglottitis, however this…
Is Your Cat Rabid or Just a Psychopath? Written by Erena Weathers First and foremost, rabies due to domesticated dogs in the US is pretty much eradicated. From 1960 to 2018, 127 human rabies cases were reported in the US, and a qu…
Syphilis Written by Erena Weathers What is syphilis? It is an infection caused by the bacterium Treponema pallidum, a spirochete, with an internal flagella. You may know it as the GREAT IMITATOR but it is also know…
Cefepime + Vanc > Vanc + Cefepime Written by Erena Weathers So you’re in Resus, your very first one. Leibner is yelling, triage is yelling, and your sphincters are *tight*. Suddenly a nurse comes asking about your elderly septic pa…
Acute otitis externa (AOE) is a common complaint seen in pediatric as well as adult emergency departments. AOE is typically not accompanied by acute otitis media, although concurrent cases are possible. Also called “swimmer’s ea…
A quick search of sinaiem.org for the keyword measles brings up a solitary post from 2015, and it’s not actually about measles. With all the attention that measles has been getting in the news recently, now seems like a great time to revisi…
