Today the emDOCs cast covers the controversy of antibiotics in uncomplicated diverticulitis.
emDOCs Podcast – Episode 89: Antibiotics for Uncomplicated Diverticulitis Read More »
Dr. Pilcher looks at necrotizing fasciitis in this month’s medical malpractice case.
Medical Malpractice Insights: Sometimes it’s a “spider bite” and sometimes it’s not Read More »
A 3-year-old male presents to the ED with one week of daily fevers >102°F associated with four days of rash on the trunk. His parents have been managing his fevers with acetaminophen and ibuprofen, but became worried today when they noticed redness and swelling of the tongue in addition to swelling in the hands and feet. Vital signs demonstrate a rectal temperature 39.5°C, BP 92/60, HR 130, RR 35, and SpO2 of 98%. Physical exam demonstrates an ill appearing child with bilateral conjunctival injection; erythematous tongue with dry, fissured lips; right sided cervical lymphadenopathy; an erythematous maculopapular rash on the chest, abdomen, and back; and nonpitting edema of the hands and feet. What is the most likely diagnosis?
EM@3AM: Kawasaki Disease Read More »
Today’s podcast covers part II of necrotizing soft tissue infection pearls and pitfalls on imaging and management with Jess Pelletier.
Jess is an emergency medicine physician and Education Fellow at Washington University School of Medicine. This second part looks at imaging and management of NSTI.
emDOCs Podcast – Episode 66: NSTI Pearls and Pitfalls Part II Read More »
Today on the emDOCs cast we discuss necrotizing soft tissue infection pearls and pitfalls with Jess Pelletier. This first part will look at some background, presentation, and laboratory evaluation for NSTI.
emDOCs Podcast – Episode 65: NSTI Pearls and Pitfalls Part I Read More »
Today’s podcast looks at the potentially deadly epiglottitis.
emDOCs Podcast – Episode 64: Epiglottitis Read More »
A 26-year-old female patient comes to the ED with an 8-day history of progressive weakness, fevers, and body aches. She reports that 4 days ago she noticed “bug bites” on her face, neck, arm, and hands. Sixteen days ago, she returned from a trip to Los Angeles where she shared a bed with her friend who was ill and had a rash at the time. The patient’s medical history is unremarkable, and she takes no medications. She is in a monogamous relationship with her long-term boyfriend and uses condoms consistently. Her temperature is 38.1º C (100.6ºF). Examination shows bilateral anterior cervical lymphadenopathy, and the lesions appear to be papular in appearance. The lesion resembles others on her face, neck, right upper arm, and other hand. What is the most likely diagnosis?
The emDOCs podcast returns with spinal epidural abscess.
emDOCs Podcast – Episode 63: Spinal Epidural Abscess Read More »
The emDOCs podcast covers toxic shock syndrome.
emDOCs Podcast – Episode 61: Toxic Shock Syndrome Read More »
In recent weeks, clusters of cases have been described in several countries prompting us to revisit this topic as it is not one we typically deal with in the ED.
R.E.B.E.L. EM – Monkeypox…The Basics Read More »