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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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Articles
- In the Literature
- Chuck Pilcher
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Dr. Pilcher covers evaluation of suicidal ideation.
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Spinal Epidural Abscess
Risk factors: recurrent vascular access, immunocompromise, spinal instrumentation; don’t forget diabetes and ESRD
Triad (fever + back pain + neuro deficit) not reliable
Evaluation: incorporate risk factors and exam (fever, neurologic deficit)
Imaging: MRI whole spine with and without contrast; 15% have skip lesions
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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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We cover acute mastoiditis in today\'s podcast.
- 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
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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.