This week's Journal Feed Wrap-up brings you Gabapentinoids, the RIFT trial, and asymptomatic bacteriuria.

We have previously discussed critical presentations involving hypertension (ex, Hypertensive Crisis, Eclampsia, Pheochromocytoma, Thyroid Storm), but there is another that involves the lungs that we need to add to the library. Let’s review Pulmonary Hypertensive Crisis

What should you consider with the patient who can't walk?

Welcome back to the EM Thinker series, which gives you practical considerations for the ED.

What kind of complications can occur after an ERCP? This post from Tim Montrief provides you with what you should consider.

32-year-old male presents to the ED with vomiting and abdominal cramping. He has Crohn's disease and has been poorly compliant with his medications. His current episode began as right lower abdominal pain 1 week ago with several episodes of watery diarrhea daily. He developed diffuse cramping, nausea and vomiting 2 days ago and has been unable to tolerate oral intake. He has not passed stool or flatus in 2 days. His abdomen is distended with hyperactive, high-pitched bowel sounds, increased tympany to percussion, and diffuse mild tenderness to palpation without rebound or guarding. What is the most likely diagnosis?

If you haven’t heard of speckle tracking on echocardiography - it is a pretty cool idea. So maybe this Speckle Tracking echocardiography (STE) would be of use as a point-of-care study to help identify patients that need more emergent revascularization when acute coronary syndrome is suspected.

This month's Medical Malpractice Insights looks at a difficult case of multiple ED visits in a pediatric patient and the importance of documented medical decision making and return precautions.