A 39-year-old female presents with severe epigastric pain, nausea, and several episodes of non-bloody, non-bilious emesis. The pain is sharp and radiates to her back. On examination, she is tachycardic and tachypneic with diffuse abdominal tenderness, but afebrile. Her lipase returns at 1100 U/L. What is your next step in evaluation and management?
EM@3AM: Pancreatitis Read More »
A 10-day-old female presents with her parents with poor feeding and increased work of breathing. Her urine output has been poor, but her parents have not observed fevers. She is afebrile, but her HR is 188, RR is 61, and oxygen saturation is 94% on room air. She demonstrates increased work of breathing and retractions and appears lethargic. Her serum glucose is 48. What is your next step in evaluation and management?
EM@3AM: The Sick Neonate Read More »
The last community-acquired pneumonia guidelines from the ATS/IDSA were released in 2007. Ready for an update?
Community-Acquired Pneumonia: ATS/IDSA Guidelines Update Read More »
A 29-year-old female presents with generalized weakness and vision problems. The weakness is worse at the end of the day, and she has noted double vision. The symptoms worsen with heat. She denies any other neurologic deficits, including paresthesias. What is the likely diagnosis, and what is your next step in evaluation?
EM@3AM: Myasthenia Gravis and Crisis Read More »
Abdominal compartment syndrome can be a tough condition to diagnose and manage. What do you need to know?
Abdominal Compartment Syndrome: Pearls & Pitfalls Read More »
A 33-year-old female presents with blurry vision. She has also experienced intermittent paresthesias in her extremities and weakness. Your motor and sensory exam is normal, but you find internuclear ophthalmoplegia and an afferent pupillary defect. With these intermittent neurologic symptoms and ocular findings, what is the likely diagnosis, and what is your next step in evaluation?
EM@3AM: Multiple Sclerosis Read More »
An 28-year-old male presents after high-speed MVC with facial pain and loss of consciousness. He has severe facial pain and bruising, conjunctival hemorrhage bilaterally, and facial paresthesias. What is the patient’s diagnosis? What’s the next step in your evaluation?
EM@3AM: Le Fort Fractures Read More »
Could it just be some lip swelling? Today on emDocs Cases we look at the ED evaluation and management of angioedema, with an in-depth investigation into medications for bradykinin-mediated angioedema.
emDocs Cases: Angioedema Evaluation and Management Read More »
What? Discharge the patient with neutropenic fever? Yes, this may be an option…
Emergency Oncology Updates: Can patients with neutropenic fever be discharged? Read More »
Using the shock index, CTA, DOAC reversal… The British Society of Gastroenterology recently released their guidelines on LGIB bleeding evaluation and management. This post will provide you with the key takeaways.
Lower GI Bleeding Guidelines Update Read More »
