EM Beats by Doge: Serious Headaches
Jonas Pologe is back with the EM Beats by Doge series. Today, Dr. Pologe brings you serious headaches.
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vascular
The EM Educator Series: Pain out of proportion – “Please cut my leg off”
This week’s EM Educator brings you the tough case of acute limb ischemia.
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Risk of Clot When Imaging Says, “Not.”
How often does CT miss PE? Who is at future risk of PE after negative CTPA? What about the risk of DVT after a negative US study? This post from Anne Flower and Amy Zeidan evaluate some key questions in the evaluation of PE and DVT.
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EM@3AM: Mesenteric Ischemia
A 65-year-old male with a history of paroxysmal atrial fibrillation presents with diffuse, severe abdominal pain after eating. He is not on anticoagulation. He has had some bloody stool. What do you need to consider, and what’s your next step in your evaluation and treatment?
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Thoracic Aortic Aneurysms: Pearls and Pitfalls
Thoracic aortic aneurysms… What do you need to know about this condition?
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Medical Malpractice Insights: Ligate only the artery, not a perfectly good nerve
This month’s Medical Malpractice Insights from Dr. Pilcher looks at the importance of documenting before and after procedures, especially neurologic function.
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EM@3AM: Pulmonary Hypertension
A 65F presents to your ED with chest pain and shortness of breath. Her symptoms have been going on for several months and have been progressively worsening. She states that she has felt this way since she was diagnosed with a “blood clot in her lungs” several months ago. VS include T 37.5C, HR 103, RR 22, Pox 89% on RA. What should you consider, and what’s your next step in evaluation and treatment?
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A Lump in the Groin: The Diagnostic Dilemma
The patient with groin or axillary mass has a wide differential. This post describes a case of a patient with IV drug abuse and groin mass. What are pearls and pitfalls in the evaluation and management of this complaint?
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Can’t Miss Surgical Emergencies – Part 1
This is the first of a two-part series on surgical emergencies. This series discusses “cannot miss” diagnoses that require immediate, or at least emergent, surgical intervention.
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Hemoptysis: Key principles and management
Hemoptysis is defined as expectoration of blood originating from the tracheobronchial tree or lung parenchyma. It may be massive or non-massive, but the majority of patients with hemoptysis will have non-massive hemoptysis. This is a brief overview of the causes, evaluation and management of hemoptysis in the emergency department.
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