SinaiEMSinaiEMSinaiEMSinaiEM
  • Faculty
  • Faculty

Blog

FAST five ways

By sinaiem | cases, Sinaiem.us | Comments are Closed | 16 January, 2013 | 0

The FAST exam is generally described as a trauma assessment (hence the acronym). But it is often used as a metanym to mean any assessment of the peritoneum for fluid. In fact when I was a resident folks would often say, “let’s FAST that gallbladder,” or “get the FAST machine so we can put thatRead more

Case- vaginal bleeding

By sinaiem | cases, Sinaiem.us | Comments are Closed | 9 January, 2013 | 0

This young healthy woman presented in her first trimester of pregnancy with lower abdominal pain and vaginal bleeding. She had diffuse abdominal tenderness and was mildly tachycardic with a normal blood pressure. After IV access was established, labs and blood bank sample were sent, and the following ultrasound of the right upper quadrant was obtained:Read more

What The Heck 1

By sinaiem | cases, Sinaiem.us | Comments are Closed | 29 December, 2012 | 0

This patient presented with right upper quadrant abdominal pain. There was RUQ tenderness on exam, but no fever, rebound or Murphy sign. A point-of-care ultrasound was performed to assess for signs of cholecystitis and the following image was obtained. This prompted the operator to ask, “What the heck?” What structures are visible here? How couldRead more

XRS- Rib pain

By sinaiem | cases, education, Sinaiem.us, XRS | Comments are Closed | 1 December, 2011 | 0

32 year old female with no past medical history presents with cough for two weeks, no fever, no sputum. Multiple sick contacts with same symptoms at work. She acutely presents with left rib pain for several days.  She reports no trauma, and noted the sharp, positional pain during a fit of coughing. Her vital signsRead more

XRS – 1

By sinaiem | cases, Sinaiem.us, XRS | Comments are Closed | 21 May, 2010 | 0

X-Ray Stinks #1: Finger Injury In this new series we will highlight cases where ultrasound proved more useful than x-ray. A seven year old boy presented with distal phalanx pain, tenderness after a fall. The following x-ray was performed: What is your diagnosis? Can ultrasound help? How would you perform an ultrasound on such aRead more

Case 3

By Phil | cases, Sinaiem.us | Comments are Closed | 3 December, 2009 | 0

54M with h/o HTN, DM, Tobacco and Focal Segmental Glomerulosclerosis presents with neck mass.  He looks dyspneic and uncomfortable at triage and has an obvious mass above his left clavicle to the degree that his head is tilted a bit to the right.  Concerned, the triage RN defers the EKG and A-Side attending consult andRead more

Case 2

By Phil | cases, Sinaiem.us | Comments are Closed | 25 November, 2009 | 0

This 16 year old patient presents to the Emergency Department you have just started at in Menominee Michigan.   All of today’s patients have been on their way home this last day of hunting season.  You suspect this patient will be more interesting, as she is wearing a PETA shirt and not a shred of orange or leather.  AlthoughRead more

7 year old with abdominal pain

By Phil | cases, Sinaiem.us | Comments are Closed | 21 August, 2009 | 0

7 year old child with abdominal pain presented with pain, nausea.  Noted to be febrile.  RLQ tender.  Linear transducer applied to point of maximal tenderness.    Image attached was obtained.  Read more

Recent Posts

  •  Sengstaken-Blakemore Tube Placement for Bleeding Esophageal Varices
  • Metformin Toxicity
  • Serotonin Syndrome
  • APRV
  • ventilator alarm!

Archives

  • May 2020
  • April 2020
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • February 2019
  • January 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • July 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2018
  • January 2018
  • December 2017
  • November 2017
  • October 2017
  • September 2017
  • August 2017
  • July 2017
  • June 2017
  • May 2017
  • April 2017
  • March 2017
  • February 2017
  • January 2017
  • December 2016
  • November 2016
  • October 2016
  • September 2016
  • August 2016
  • July 2016
  • June 2016
  • May 2016
  • April 2016
  • March 2016
  • February 2016
  • January 2016
  • December 2015
  • November 2015
  • October 2015
  • September 2015
  • August 2015
  • July 2015
  • June 2015
  • May 2015
  • April 2015
  • March 2015
  • February 2015
  • January 2015
  • December 2014
  • November 2014
  • October 2014
  • September 2014
  • August 2014
  • July 2014
  • June 2014
  • May 2014
  • April 2014
  • March 2014
  • February 2014
  • January 2014
  • December 2013
  • November 2013
  • October 2013
  • September 2013
  • August 2013
  • July 2013
  • June 2013
  • May 2013
  • April 2013
  • March 2013
  • February 2013
  • January 2013
  • December 2012
  • November 2012
  • October 2012
  • September 2012
  • August 2012
  • July 2012
  • June 2012
  • May 2012
  • April 2012
  • March 2012
  • February 2012
  • January 2012
  • December 2011
  • October 2011
  • September 2011
  • August 2011
  • July 2011
  • June 2011
  • May 2011
  • April 2011
  • March 2011
  • February 2011
  • January 2011
  • December 2010
  • October 2010
  • September 2010
  • August 2010
  • July 2010
  • June 2010
  • May 2010
  • April 2010
  • March 2010
  • February 2010
  • January 2010
  • December 2009
  • November 2009
  • October 2009
  • September 2009
  • August 2009

Categories

  • airway
  • Alumni Follow-Up
  • artifacts
  • best-of-resus
  • Board Review
  • Burns
  • cardiology
  • cases
  • critical care
  • dermatology
  • education
  • EKG
  • endocrine
  • ENT
  • environmental
  • featured
  • geri
  • GI
  • GU
  • hematology
  • Infectious disease
  • informatics
  • Lab medicine
  • neonate
  • neurology
  • news
  • OB/GYN
  • ophthalmology
  • ophthomology
  • ortho
  • Pearl of the Day
  • Pearls
  • pediatrics
  • Pharm
  • procedures
  • PSA
  • Psych
  • Pulm
  • QTip
  • Qtips
  • radiology
  • Renal
  • research
  • Sinai Resus
  • Sinaiem.us
  • Statistics
  • Tips and Tricks
  • Top 3
  • tox
  • Trauma
  • Ultrasound
  • urgent care
  • Wellness
  • Wilderness
  • XRS

Meta

  • Log in
  • Entries RSS
  • Comments RSS
  • WordPress.org
  • Resident Login
  • Schedules
    • Qgenda
    • Schedule Request Form (All Sites)
    • Moonlighting Requests
      • Sinai Moonlighting Request Form
      • Elmhurst Moonlighting Request Form
      • BI Moonlighting Request Form
      • PEM Moonlighting Request Form
      • MSBI Urgent Care Moonlighting Request Form
    • Moonlighting Payment Form
  • PEARL PUSHERS
  • Shift Resources
    • Consent Forms
    • Regional Anesthesia Guide
    • Critical Care Protocols
    • Shout Out Form
    • Checklists
      • Start of Shift Checklists
        • General Start of Shift Checklist (EMUpdates)
        • Cardiac
        • Resus Checklist 5.0
        • Resus
        • Trauma
        • RACC Restocking Checklist
      • Intubation Checklist (EMUpdates)
      • PSA Checklist (EMUpdates)
    • PEM Resources
      • CHOP ED Clinical Pathways
      • StatPearls
      • PEM Database
    • Mental Health Resources
  • Resus
    • Resus Checklist 5.0
  • Ultrasound
  • People
    • Residents
    • Faculty
    • Division of Critical Care
    • PEM Fellows
    • Residency Newsletters
      • Summer 2017
      • Winter 2016
      • Summer 2015
    • Alumni Map
  • Applicants
    • EMIG
      • EMIG EMS Ride-Alongs
    • Residency Applicants
    • MS4 Clerkship Applicants
    • Wellness
      • Resiliency Toolbox
      • Mental Health Resources
      • New York City things-to-do
        • Viewing.NYC
      • Free Write May 2017
      • Other Wellness Information
      • Having Children During Residency – Pregnancy tips for new moms and dads
SinaiEM