R.E.B.E.L. EM – Monkeypox…The Basics
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.
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ID
emDOCs Podcast – Episode 54: Clostridioides difficile infection updates
The emDOCs podcast covers updates in Clostridioides difficile infection.
emDOCs Podcast – Episode 54: Clostridioides difficile infection updates Read More »
EM@3AM: Herpes Zoster
A 27-year-old pregnant female presents with a painful rash to the right side of her face that started 4 days ago. She is G1P0 and currently 26 weeks pregnant with reported routine prenatal care. She had been doing well until 4 days prior when she began to experience tingling and pain to her right cheek, followed by the development of small, painful, erythematous bumps to the area. Her VS are normal. On exam, she has a vesicular rash across her right cheek in the V2 cranial nerve distribution. What is the most likely cause of this woman’s rash?
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EM@3AM: Epiglottitis
A 33-year-old male presents to the ED for odynophagia and mild dyspnea. He has had pain with swallowing for the past 24 hours and it has gotten progressively worse. He is having difficulty tolerating oral secretions. VS include BP 91/49, HR 130, T 102.2 temporal, RR 25, SpO2 91% on room air. He appears toxic. The ENT exam reveals a midline uvula; cervical lymphadenopathy; soft mouth floor, and no evidence of dental infection, no neck erythema, though voice changes. He has severe pain with palpation of the hyoid bone. What’s the most likely diagnosis?
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emDOCs Podcast – Episode 46: HIV
The emDOCs podcast covers HIV for this week.
emDOCs Podcast – Episode 46: HIV Read More »
Endocarditis: Why do we miss it, and how do we improve?
When should we suspect endocarditis, and how can we improve our diagnosis?
Endocarditis: Why do we miss it, and how do we improve? Read More »
Surviving Sepsis Campaign: 2021 Updates
The Surviving Sepsis Campaign published updated guidelines for the management of sepsis and septic shock, with 93 recommendations. We cover the EM Top Changes, with some discussion of the literature behind these changes, as well as other changes that impact our practice.
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EM@3AM: Lemierre’s syndrome
A 23-year-old male presents for severe throat pain and cough. He states that his neck hurts, with left sided redness and pain. Vital signs include BP 91/49, HR 130, T 102.2 temporal, RR 25, SpO2 91% on room air. He appears toxic. The ENT exam reveals a midline uvula; soft mouth floor; prominent generalized cervical, submandibular, and submental swelling with corresponding lymphadenopathy; but no voice changes or difficulty tolerating secretions. His neck is red and tender, with mild swelling overlying the left side of neck and a painful tracheal rock. What is the most likely diagnosis?
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Journal Feed Weekly Wrap-Up
Journal feed covers dalbavancin for soft tissue infections and REGEN-COV for COVID-19.
Journal Feed Weekly Wrap-Up Read More »
emDOCs Podcast – Episode 39: Encephalitis
The emDocs Podcast looks at encephalitis this week.
emDOCs Podcast – Episode 39: Encephalitis Read More »