In the ED, we see patients with asymptomatic hypertension who are frequently discharged with primary care follow-up. This post opens a brief discussion and opportunity for learning about an instance where asymptomatic hypertension requires urgent action, hypertension in pregnancy.
Elemental EM: Preeclampsia Read More »
Welcome to the new ECG Pointers, an EMDocs series designed to give you high yield tips about ECGs to keep your interpretation skills sharp. Today, we look at pericarditis.
ECG Pointers: Pericarditis Read More »
A 2-year-old female presents to the ED with 3 days of fever, cough, congestion, and watery diarrhea. The patient’s mother is concerned as the toddler had two episodes of bloody diarrhea prior to arrival. You obtain a stool sample: fecal occult blood test is positive. Read this week’s review to find out why HUS should be on your differential diagnosis.
EM@3AM – Hemolytic Uremic Syndrome Read More »
Compartment syndrome is a rare complication that can occur after snake bites and should be managed primarily using antivenin. Keep orthopods and their scalpels at bay.
Snake Bite Compartments… to cut or not to cut Read More »
A 34-year-old male presents to the emergency department following a “shock” to the hand. Per the patient, while installing a ceiling fan thirty minutes prior to arrival, he experienced the sudden onset of severe pain in his right hand when it made contact with an exposed wire. He is currently asymptomatic. Is an evaluation warranted? Let’s take a look at this week’s review of electrical injuries.
EM@3AM – Electrical Injuries Read More »
A 32-year-old female, with a history of rheumatoid arthritis (methotrexate therapy), presents to the emergency department for severe itching, mouth ulcers, and a diffuse rash. The patient denies recent travel, sick contacts, and new exposures. Review of systems is positive for abscess/cellulitis treatment (cephalexin and trimethoprim/sulfamethoxazole) three weeks prior to arrival. What diagnosis should be on your differential? Take a minute to read this week’s review of DRESS.
EM@3AM – Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Read More »
A 62-year-old male presents with left lower quadrant pain, which he states is “exactly like his episode of diverticulitis.” His vital signs are within normal limits and his abdominal exam remarkable only for mild abdominal tenderness to palpation. How do you evaluate and treat this patient? Read this week’s review of acute diverticulitis for management pearls.
EM@3AM – Diverticulitis Read More »
A two-year-old male presents to the emergency department following the ingestion of his grandmother’s propranolol. Upon presentation, the young boy is lethargic. EKG demonstrates sinus bradycardia (heart rate: 39 beats per minute) and a first degree AV block. How do you treat this patient’s bradycardia? Read this week’s review of beta-blocker toxicity for a rapid refresher.
EM@3AM – Beta-Blocker Toxicity Read More »
SILENT syndrome is a severely disabling syndrome that is difficult to diagnose but should be suspected in patients with altered mental status and neurologic changes with a history of lithium use.
Tox Card: Shhhhh…. It’s SILENT Read More »
