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Welcome back to EMin5! For this episode, Anna Pickens brings you post-exposure prophylaxis. Unfortunately, we often don’t give this all-too important topic enough attention.

The patient presenting with aspiration can be challenging… When should you use antibiotics? What about steroids? This post evaluates these tough questions and more.

What should you do with the critically ill patient with meningitis?

The last community-acquired pneumonia guidelines from the ATS/IDSA were released in 2007. Ready for an update?

Pyomyositis can be deadly, but it is not often at the forefront of our differential. When should you consider this disease, and how do you manage it?

A 23-year-old female presents with acute onset lower abdominal pain with abnormal vaginal discharge. She denies fevers, chills, nausea, vomiting, dysuria, hematuria, diarrhea, and constipation. She is sexually active with one partner of 3 months and inconsistently uses condoms. Speculum exam shows small amount of blood and cervical discharge. What is the likely diagnosis?

How is trismus defined? What can cause it, and what should you do?

Ready for an evidence-based approach to Fournier’s gangrene? Tim Montrief brings you the keys to evaluation and management.

A 65-year-old male with poorly controlled type 2 diabetes and ESRD on dialysis presents for right sided nose/facial discomfort and swelling and fever. Exam reveals altered mental status. He has right nasal swelling and tenderness, with a necrotic area on nasal septum. He is tachycardic, but the CV, pulmonary, skin, and GI systems are otherwise normal. What’s the likely diagnosis?

Cryptococcal meningitis… at times not an easy diagnosis. This post provides you with the keys for diagnosis and management.