Browsing: Clinical

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Toxicology

A Case of Paralytic Shellfish Toxin Poisoning in the Aleutian Islands

4/15/2024 Sarah Spelsberg, MD, FAWM, FEWM , Megan Sarnecki, MD , Sara Filmalter, MD, CAQSM, FAWM, DIDMM , Abraham Boxx, BCP, BSN, RN, TCRN, CFRN, CCRN, CEN, NRP, FP-C, FAWM , Heather Edmison, FP-C , Holli Carter, RN, BSN, CCRN, CFRN
Paralytic shellfish poisoning (PSP) is caused by eating filter feeders contaminated by paralytic shellfish toxin from algae. Toxin levels contained in a single shellfish can be fatal to humans. In cas
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Toxicology , Cardiology , Addiction Medicine

Dangerous Pill to Swallow: A Case Report

4/15/2024 Alaina Royalty, MD , Matthew Eisenstat, MD, FAAEM
Recent literature shows that illicit benzodiazepines have been associated with significant impairment, have higher potencies than standard benzodiazepines, and are harder to identify via screening met
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Ophthalmology

Contact Lenses, a Hot Tub — and a Case of Corneal Keratitis in the ED

4/15/2024 Bryn Dhir, MD , Jared Hicken, DO , AJ Tatge, DO
Identifying ocular infections and potential severity is a critical challenge in the clinical management of patients in the ED. Ophthalmology cases are important in the education and management of pati
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OB/GYN , Ultrasound

Role of POCUS in Ruptured Ectopic: A Case Report

4/15/2024 Ava Roth, DO , Sarah E. Fabiano, MD, FACEP, FAAEM
Ectopic pregnancies are the leading cause of maternal mortality within the first trimester of pregnancy.5 The standard of care for workup and diagnosis includes a quantitative β-hCG and ultrasound ima
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Psychiatry , Patient Interactions , Health Care Administration

Unique Psychiatric Care: The Role of EmPATH Units

4/15/2024 George V. Koshy, DO, MPH , Eric Melnychuk, DO
Most EDs are not designed to provide comprehensive psychiatric care, leading to suboptimal treatment for psychiatric patients, particularly those with suicidal ideations. Boarding in the ED often resu
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Hematology

Close Call After a Fall: Splenic Rupture and its Life-Threatening Consequences

4/15/2024 Cheri Lotfi , Charles Adams , Reginald Saint-Hilaire, MD
Splenic rupture is generally classified as traumatic or atraumatic. The former is typically the result of blunt abdominal trauma, while the latter can occur due to a variety of pathologic causes. Our
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Neurology

Not all Weakness is Stroke: Difficult Diagnosis of Cerebellar Abscess Without MRI Ability

4/15/2024 Samuel Orchard, MD , Sarah E. Fabiano, MD, FACEP, FAAEM
Brain abscesses can be difficult to diagnose and often mimic other intracranial pathology such as stroke or malignancy. These patients may not exhibit infectious symptoms such as fever, leukocytosis,
Gastroenterology

Flood Syndrome: A Ruptured Umbilical Hernia in a Patient with Severe Ascites

4/14/2024 Michael Farney, DO , Earl Quinn Cummings, MD
Flood syndrome is defined as a spontaneous rupture of an umbilical hernia leading to sudden loss of ascitic fluid. It is a rare condition that carries a high mortality rate.
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Health Policy Journal Club , Health Policy , Administration & Operations , Social EM

Health Policy Journal Club: Final Destination

4/11/2024 Phillip Groden, MD , Vidya Eswaran, MD , Rachel Solnick, MD
Does triage create a bias that might contribute to mis-diagnosis? The Health Policy Journal Club evaluates a recent study of the Emergency Severity Index.
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ECG Challenge , Cardiology , Medical Education

ECG Challenge: April-May-June 2024

4/11/2024 Alec Good, DO , Daniel Regino, DO , Jeremy Berberian, MD
A 64-year-old male with past medical history of HTN, CAD, and prior MI presents due to substernal chest pain. What is your interpretation of his ECG?

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