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 »
A 53-year-old male presents with nausea/vomiting and complains of turning “yellow”. He denies abdominal pain, fever, alcohol use, or acetaminophen intake. His vital signs are normal, and exam reveals icteric sclerae, jaundice of his face and chest, and hepatomegaly. He has no tenderness to abdominal palpation. What’s going on, and what’s your next step in evaluation and treatment?
EM@3AM: Jaundice in Adults Read More »
An 8-year-old male presents 7 days post-tonsillectomy. His mother states he started spitting up blood this morning. The patient appears well, but suddenly starts throwing up coffee ground emesis. When the patient stops throwing up, you look at the back of the throat and see what appears to be a clot. What’s the next step in your evaluation and treatment?
EM@3AM: Post-Tonsillectomy Complications Read More »
In this edition of emDocs Cases, we look at the evidence concerning rhabdomyolysis. What history/exam findings suggest the condition? Is CK level related to renal injury? What fluid is best? Are sodium bicarbonate and mannitol helpful? What’s the disposition? We look at these and more.
emDocs Cases: Evidence-Based Recommendations for Rhabdomyolysis Read More »
