A 32-year-old female with a history of hypertension and autoimmune hepatitis status post liver transplant 6 weeks prior on tacrolimus and mycophenolate presents to the ED with abdominal discomfort. For the past two days, she describes worsening pain and intermittent vomiting. She came today because her sister is a nurse who noticed her eyes were yellow. She denies fever or a new rash. She has been taking her medications as prescribed. Vital signs: HR 118, BP 103/68, RR 20, T 99.8. On exam the patient is tachycardic with RUQ pain to palpation and scleral icterus. LFTs are in the thousands.

When should you consider CTA of the head and neck?

Journal Feed covers the ACORN RCT, the risk of ventricular arrhythmia with loperamide and kratom, and the cutoff for fever.

Today the emDOCs cast covers the controversy of antibiotics in uncomplicated diverticulitis.

This post covers the 2023 AHA Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning.

A 54-year-old male with a history of diabetes presents with “pain in my groin” for the past two weeks. He reports approximately one month of dysuria, and around two weeks ago noticed a dull aching sensation in his testicles that has progressively gotten worse. He came to the ED because he now has a fever, chills, and nausea along with his testicular pain.

Welcome to emDOCs revamp! This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Our first post covers esophageal perforation.

The CT contrast shortage made us adapt what we do for imaging. This post covers lessons learned.