A 37-year-old trauma patient, involved in a motor vehicle collision six hours prior to arrival and stabilized at a county hospital, is transferred to your ED. A nurse notes blood oozing from the man’s central and peripheral lines. What laboratory studies do you order? If you’re in need of a refresher, take a look at this week’s review of disseminated intravascular coagulation.
EM@3AM – Disseminated Intravascular Coagulation Read More »
An 8-year-old male presents to the ED for 9 days of watery diarrhea. The patient’s mother reports the onset of his symptoms following a family vacation to Mexico. Do you prescribe antibiotics? Read this week’s review for helpful hints.
A 31 year-old female, undergoing ED evaluation for chronic back pain, is found to have microscopic hematuria on urinalysis. She is asymptomatic. Is follow-up advised? Let’s review hematuria.
EM@3AM – Hematuria Read More »
A female patient, with a previous history of an ectopic pregnancy, presents to the ED with abdominal pain and vaginal bleeding following a positive home pregnancy test. What is the likelihood that the patient is experiencing a second ectopic pregnancy? Read this week’s review to find out.
EM@3AM – Ectopic Pregnancy Read More »
A 65-year-old male with epididymitis has been compliant with his antibiotic therapy for 4 days duration, but remains symptomatic. Is it time to consider an alternative diagnosis? Read this week’s review to find out.
EM@3AM – Epididymitis Read More »
Painless monocular vision loss: what’s on your differential? Let’s take a minute to review central retinal vein occlusion.
EM@3AM – Central Retinal Vein Occlusion Read More »
Carotid artery dissection: when is anti-platelet therapy preferred over anticoagulation? Read this week’s review for a brief refresher.
EM@3AM – Carotid Artery Dissection Read More »
A contact lens wearer presents with a painful red eye. Examination is notable for a hazy cornea. Let’s take a minute to review corneal ulceration.
EM@3AM – Corneal Ulcer Read More »
A young female presents to the emergency department requesting testing for exposure to gamma hydroxybutyrate (GHB). How do you advise the patient? Read this week’s review for a number of helpful hints.
EM@3AM – Gamma-Hydroxybutyrate (GHB) Toxicity Read More »
Corneal abrasions: when should ophthalmology be consulted? Let’s review a few pearls.
EM@3AM – Corneal Abrasion Read More »