Category Name: clinical cases

clinical cases

Splenic Infarction in Mononucleosis: Pearls and Pitfalls

Remember that patient you had with a week of sore throat and fatigue who presented with new left upper abdominal pain? Splenic infarction isn't such a rare entity in mononucleosis... This post is full of pearls and pitfalls in the diagnosis and management of splenic infarction in mono.

clinical cases

Subtle ECG Findings in ACS: Part III Benign Early Repolarization vs. Anterior STEMI

Welcome to the third blog post in a series on subtle ECG findings in ACS. This post about mimics: benign early repolarization (BER) and the anterior STEMI. Each of these can mimic the other. The problem is that one of these diagnoses is deadly and the other is a normal variant.

clinical cases

Subtle ECG findings in ACS: Part II Hyperacute T-Waves

What if you could identify a patient with complete coronary vessel occlusion almost immediately after it occurs, before the ST segments begin to elevate? What if you could pick up the very subtle, early MI? We know that early recognition and intervention improves outcomes in patients with coronary a...

clinical cases

Subtle ECG Findings in ACS: Part I Left Main Coronary Artery Disease

When it comes to ACS, some ECGs are obvious. This article is not about those ECGs. This article will be the first in a series of blog posts related to subtle ECG findings in ACS. In this post we will look at ECG findings associated with left main coronary artery disease and explore the significance of ST-segment elevation in the “forgotten lead”.

clinical cases

Endophthalmitis Highlights

Endophthalmitis is a rare, but clinically significant infection. It is often misdiagnosed due to the multitude of other ocular diseases that share similar presenting symptoms. It results from an infectious or non-infectious inflammatory process of the vitreous and aqueous humors. Missed or late diag...

clinical cases

Fluid Choice in Sepsis: Does it matter?

Does your choice of fluids for resuscitation in sepsis matter? Multiple studies have been performed to determine whether septic patients benefit from colloid versus crystalloid IV fluids, and other studies have specifically looked at the different kinds of fluids within those specific groups. Debate now exists as to which fluid will improve patient outcomes.