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A 15-year-old female with PCOS, obesity, asthma, and recurrent otitis media with bilateral tympanostomy tube placement reports three weeks of increasing sanguineous drainage, ear pain, fevers, and worsening left-sided headaches not improving with NSAIDs. She localizes the pain behind the left eye and additionally reports loss of lateral vision in
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- perspectives
- Chuck Pilcher
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Dr. Pilcher covers two difficult cases in this month's medical malpractice insights.
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- In the Literature, practice updates
- Brit Long
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We cover the 2026 AHA/ASA guideline for the early management of acute ischemic stroke.
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- practice updates
- Cameron Upchurch
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Cameron Upchurch, Talat Raja, and Skyler Lentz discuss what you need to know for anatomical snuffbox distal radial arterial lines.
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Acute heart failure exacerbation disposition
Not all patients require admission
Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up
Elevated troponin and serum Cr associated with worse outcomes
Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)
