A 31-year-old male presents for headache for the past 72 hours. He has a history of tension headaches, but confirms that this headache feels different. He has a history of HIV/AIDS and is noncompliant with medications. His last known CD4 count one month prior was 200. He appears confused and is febrile. Neurologic exam reveals motor deficit of RUE and RLE. What’s your next step?
EM@3AM: CNS Toxoplasmosis in HIV/AIDS Read More »
Last month, a long-anticipated trial on ED migraine treatment came out evaluating the use of greater occipital nerve blocks (GONB) in the ED for refractory migraines. This edition of Pain Profiles looks at migraines, what we know about migraine treatment, and what nerve blocks bring to the table.
Pain Profiles: ED Migraine Management – The New Kid on the “Block” Read More »
How do you evaluate the patient with syncope? Do we need a head CT? Are orthostatic vital signs useful? This post investigates what we do in the ED.
Low Risk Syncope – Pearls and Pitfalls Read More »
This week’s JournalFeed Wrap-Up covers a variety of topics including cricoid pressure in pediatric intubation, time to thrombolysis in ischemic stroke, and risk of thoracotomy.
JournalFeed Weekly Wrap-Up Read More »
A 31-year-old female presents with headache. She has a history of migraines, but states that this headache is different. The headache came on over the past two days, but she has been having intermittent double vision when she changes positions, which is new. Exam reveals an obese female in no acute distress. Visual acuity is normal, but she has mild left sixth nerve palsy. Fundoscopic exam reveals bilateral papilledema. The rest of her neurologic exam is unremarkable. What are the next steps in management?
EM@3AM: Idiopathic Intracranial Hypertension Read More »
Welcome to this week’s edition of the EM Educator series! How can you optimize care of the patient with spontaneous intracerebral hemorrhage? What do you need to consider?
EM Educator Series: Not all head bleeds are alike – Spontaneous Intracerebral Hemorrhage Read More »
Remember Huntington’s Disease? This post provides you with the key information concerning this disease for EM.
Huntington’s disease: ED presentations, evaluation, and management Read More »
This week’s EM in 5 brings you Transient Global Amnesia.
EM in 5: Transient Global Amnesia Read More »
With all the new stroke literature, how can you keep track of everything? Fortunately, the AHA/ASA recently published the 2018 ischemic strokes guidelines. This post provides emergency medicine-focused highlights of the updated guidelines.
2018 AHA/ASA Ischemic Stroke Updates Read More »
The patient with Parkinson’s disease can present with a variety of complications… Read on for more on Parkinson’s, its associated complications, and management.
