recent articles
- Mar 13th, 2021
- Andrea Nillas
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A 40-year-old female with history of depression is brought in by EMS for agitation. On arrival she is confused and diaphoretic. Vitals include temperature of 40°C, BP 150/80, HR 120, and RR 28. Exam is remarkable for muscle rigidity, hyperreflexia, and clonus of the lower extremities. What is the next step in your evaluation and treatment?
- Feb 24th, 2021
- Robert J. McMickle
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- Nov 21st, 2020
- Taylor Guinn
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A 42-year-old female with a past medical history of iron deficiency anemia presents to the ED with a peritonsillar abscess. You give 2 benzocaine sprays and successfully aspirate the abscess. As she is waiting for her discharge paperwork, the nurse alerts you that her oxygen saturation is now in the mid-80s. Repeat vitals in the room are as follows: BP 102/78, HR 102, O2 85%, RR 24. She has perioral cyanosis that was not seen on your initial exam. What is the diagnosis and best next step?
- Nov 18th, 2020
- Kelsey Lena
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Chasing the Dragon refers to the practice of heroin inhalation by placing heroin in a small square of aluminum foil which is then heated from below. As the heroin melts it turns into a reddish-brown substance that may resemble a dragon’s tail. Inhaling heroin may induce toxic leukoencephalopathy, which has no proven treatment and recovery, if any, is prolonged.