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EM@3AM: Suppurative Labyrinthitis
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A 58-year-old male presents with 1 day of severe vertigo associated with nausea and vomiting, tinnitus, and sudden-onset hearing loss. He reports several days of left-sided ear pain and discharge from his left ear. Vital signs reveal T 38.9C, HR 120, BP 138/96, RR 18, SpO2 99% on room air. He...
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A 30-year-old female presents to the ED with sudden onset right lower quadrant and flank pain. She has also had severe nausea and vomiting. Abdominal exam reveals significant right lower quadrant tenderness, and pelvic exam reveals tender right adnexa. What’s the next step in your evaluation and treatment?
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Today's EM Beats by Doge brings you vertigo.
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Sepsis Sources: LUCCAASSB
Lung* (pneumonia, effusion, abscess)
Urine* (UTI, pyelonephritis)
Cardiac (endocarditis)
CNS (meningitis, encephalitis, abscess)
Abdomen (intra-abdominal)
Arthritis (septic)
Skin (cellulitis, abscess, NSTI)
Spine (osteomyelitis, SEA, discitis)
Bacteremia
*most common sources
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Podcasts
- By: Brit Long
- Date: March 17, 2026
emDOCs Podcast – Episode 137: Acute Mastoiditis
- 14 min read
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- By: Brit Long
- Date: March 2, 2026
emDOCs Podcast – Episode 136: Ectopic Pregnancy Myths Part 2
- 11 min read
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We're back with myths and misconceptions in ectopic pregnancy testing, focusing on urine and serum β-hCG and ultrasound.
- By: Brit Long
- Date: February 17, 2026
emDOCs Podcast – Episode 135: Ectopic Pregnancy Myths Part 1
- 11 min read
- 0 comment
This podcast evaluates myths and misconceptions in ectopic pregnancy, focusing on risk factors, history, and exam.
- By: Rachel Bridwell
- Date: February 3, 2026
emDOCs Podcast – Episode 134: Acute Acetaminophen Toxicity
- 14 min read
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Today on the podcast, Rachel Bridwell and Brit Long cover acute acetaminophen toxicity, as well as some evidence updates.