Browsing: Clinical

Pediatric EM , ENT

Not Just a URI: Serious Complications With Sinusitis

4/15/2023 Carly Rosen, MD , Celeenamma Daniel, MD , William Bonadio, MD

This case demonstrates the serious complications that can accompany sinusitis, including orbital cellulitis and septic thromboembolism with intracranial abscess. Rhinosinusitis, defined as inflammatio

Pediatric EM , Nephrology

A Case of Constipation … or Not

4/15/2023 Karly Lebherz, MD , Anna Suessman, DO

Nephrotic syndrome (NS) is diagnosed by the presence of proteinuria, hypoalbuminemia, and peripheral edema. Hyperlipidemia and thrombotic disease are also frequently observed. Most cases of NS in pedi

Dermatology , Hematology , Oncology , Toxicology

Warfarin-Induced Skin Necrosis: Not Your Typical Rash

4/15/2023 Brandon Murdock, MD , Chung-ting J. Kou , Paul A. Gonzales , David M. Crawford

Warfarin-induced skin necrosis (WISN) is a rare condition thought to be due to microvascular thrombosis and ischemia and is commonly related to protein C deficiency. Recognition of WISN is critical to

Toxicology

I Ordered the Urine Drug Screen, Now What? An Overview on Testing, Interference, and Utility of UDS in the ED

4/15/2023 E. Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Alexa Peterson, DO, MS

The urine drug screen is a widely used, but imperfect, diagnostic test. Because of its potential flaws, it should not be used out of context or in isolation, but it remains a valuable test in the tool

Gastroenterology , Pediatric EM

Trichobezoar: A Case of Swallowed Hair in an Adolescent Patient

4/15/2023 Simi Jandu, MD , Ashima Goyal , Jatinder Gosal, MD

Trichobezoars are an uncommon diagnosis but should be considered in the differential for patients presenting to the emergency department with abdominal pain. It is especially important not to overlook

International EM

Emergency Medicine in India: Paths Crossed and What Lies Ahead

4/15/2023 Sreenidhi Vanyaa Manian , Jai Shahani , Ashley Pickering, MD, MPH , Elizabeth DeVos, MD, MPH, FACEP , Arun Nandi, MD , Sushant Chhabra, MD

Emergency medicine in India has advanced substantially from its nascent origins. The country’s healthcare community has recognized the need for quality emergency care as the number of citizens affecte

Op-Ed , Patient Interactions

The Ethics of Caring for an Unfavorable Patient

4/15/2023 Adiba Matin, MD

Debriefing, leaning on peers, and seeking mental health help are all important steps in caring for unfavorable patients. Acknowledge the emotional toll that this may take on you, approach the situatio

Pediatric EM , Endocrinology

Thyrotoxicosis: A Case of Storming Hormones

4/15/2023 Nhat Chau, MD , Anna Suessman, DO

Thyroid storm is an acute life-threatening condition of hyperthyroidism, characterized by high fever, dehydration, tachycardia or tachyarrhythmias, tremor, nausea and vomiting, diarrhea, restlessness,

ECG Challenge , Cardiology

ECG Challenge: April-May-June 2023

4/15/2023 Hayden Schenker , Jeremy Berberian, MD

A 58-year-old male with a PMH of alcohol use disorder presents to the ED due to multiple falls. What is your interpretation of his ECG?

Critical Care Alert , Critical Care , Infectious Disease , Pulmonary

Critical Care Alert: CAPE-COD Trial

3/29/2023 Christian Kasianko, MD , Evan McMurray, MD

The CAPE-COD Trial indicates it might be worth your time to consider hydrocortisone in managing community-acquired pneumonia in admitted patients boarding in the emergency department.