ID

A 45-year-old male presents to the ED for worsening, severe oral pain and acute bleeding of his gums. He has HIV and is non-compliant on HAART. You note halitosis, gingival bleeding, increased mobility of the front lower teeth, ulcerated “punched out” lesions along the interdental papillae, and anterior cervical lymphadenopathy. What’s the next step in your evaluation and treatment?

This ToxCard looks at the ins and outs of hydroxychloroquine and chloroquine and their toxicity, as well as their place in the treatment of COVID-19.

Rob Orman and Reuben Strayer cover COVID-19 in New York, including the many challenges and some important lessons.

With COVID-19 rapidly spreading, many studies are underway evaluating medical therapies. This post will evaluate symptomatic therapies, including NSAIDs and corticosteroids, and the controversy surrounding these medications.

COVID-19 is a global pandemic. This post focuses on management of the critically ill patient with COVID-19 by discussing the recently published Society of Critical Care Medicine and European Society of Intensive Care Medicine Guidelines.

The Policy Playbook is back with COVID-19.

A 15-year-old male presents to the pediatric ED for worsening sore throat and fevers for 5 days. He complains of right sided throat pain, odynophagia, and a muffled voice. He is tachycardic, febrile, uncomfortable appearing, and sitting upright.  You note trismus, swollen right tonsil, erythematous and elevated soft palate, and uvula deviated towards the left tonsil. What’s the next step in your evaluation and treatment?

A 42-year-old male presents with headache, fever, chills, nausea, and myalgias. He returned from a month-long trip to Africa several weeks ago. On examination, he is tachycardic and febrile. You do not find a rash or meningismus, but you palpate an enlarged spleen and liver.  What is your next step in evaluation and management?