emDocs Logo
X-twitter Facebook-square Linkedin-in Youtube-square Ti-instagram

#FOAMcc

em@3am logo

EM@3AM: Catheter Associated Urinary Tract Infection

Leave a Comment / em@3am /

A 72-year-old male with BPH and HTN presents from a subacute rehab facility for altered mental status and fever. He has had a Foley catheter in place for the past 10 days following hospitalization for hip fracture repair. Vital signs include BP 92/68, HR 110, T 103F rectally, RR 17, SpO2 98% on RA. Foley catheter is in place with cloudy urine in the Foley bag. Ultrasound demonstrated a non-distended bladder with Foley balloon in good position. UA from old Foley: >10 WBC per HPF. UA + Culture from new Foley: >10 WBC per HPF. What is the likely diagnosis?

EM@3AM: Catheter Associated Urinary Tract Infection Read More »

em@3am logo

EM@3AM: Hypokalemia

Leave a Comment / em@3am /

A 55-year-old male with history of recently diagnosed HFrEF, DM, HTN presents with progressive generalized weakness and intermittent palpitations over the past two weeks that worsened over the past two days when he developed non-bloody, non-bilious vomiting and non-bloody diarrhea. He has been taking his daily medications as prescribed which include metformin, metoprolol, and furosemide. EKG reveals NSR with flattened T waves, prominent U waves, and prolonged QTc.

EM@3AM: Hypokalemia Read More »

em@3am logo

EM@3AM: Cat-Scratch Disease

Leave a Comment / em@3am /

A 43-year-old male presents with swelling to the right armpit. He also endorses a small wound to his right forearm, fatigue, mild muscle aches, and low-grade fever. On exam he has right axillary lymphadenopathy and a small, non-tender, slightly raised erythematous lesion to the right forearm with no overt evidence of extensive cellulitis. The patient states that he was playing with the neighborhood cat a little over a week ago. He believes the cat bit him on the arm before running off. What is the diagnosis?

EM@3AM: Cat-Scratch Disease Read More »

Subscribe
Subscribe
Emdocs podcast – episode 126 : upper gi bleeding evidence and controversies part 2. Message phone email. emdocs podcast – episode 125 : upper gi bleeding evidence and controversies part 1.