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practice updates

EM@3AM: Mucormycosis

A 65-year-old male with poorly controlled type 2 diabetes and ESRD on dialysis presents for right sided nose/facial discomfort and swelling and fever. Exam reveals altered mental status. He has right nasal swelling and tenderness, with a necrotic area on nasal septum. He is tachycardic, but the CV, pulmonary, skin, and GI systems are otherwise normal. What’s the likely diagnosis?

Peds EM Morsels

Pulmonary Hypertensive Crisis

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