A 37-year-old female presents with dysuria, polyuria, polydipsia, and lightheadedness. She has a history of insulin-dependent diabetes but ran out of her glucose strips at home. She has had significant nausea and suprapubic pain. She is tachycardic and tachypneic. Exam reveals dry oral mucosa and suprapubic tenderness. POC glucose is 422 mg/dL. What is the diagnosis, and what are your next steps?

Children the world over are fascinated with what can possibly “fit” in their orifices. Diagnosis is often delayed. Anxiety abounds before and during evaluation and management.

A 63-year-old female presents with abdominal pain, decreased bowel movements, nausea, three episodes of vomiting, and abdominal distension. She has a history multiple abdominal surgeries. Exam shows abdominal distension and generalized tenderness, but no peritoneal signs. What are your next steps?

What disease is characterized by progressive weakness caused by degeneration of both upper motor neurons (UMN) and lower motor neurons (LMN)? This post evaluates ALS and ED-relevant management.

Doesn't that patient with flank pain and hematuria just have a kidney stone? What else should you consider in the patient with suspected urolithiasis?

Welcome to Part 2 of damage control resuscitation in the non-trauma center. How do you manage this difficult situation? Part 2 discusses several key considerations in the evaluation and management of the sick trauma patient.

The most common sources of sepsis include pneumonia and UTI. But what if you can't find the source of infection? What else should you consider?

Learn the nuances and importance of thiamine in your patient that presents to the ED. This in-depth article dives into the latest literature out on thiamine and how it relates to your patient in the ED.