Browsing: Topics

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

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

Pediatric EM , Hematology

Mystery Bruising: A Case of Post-Viral ITP

4/15/2023 Caroline Lawless , Timothy Truman, DO , Nicole Laslett, DO

The incidence of post-viral ITP is about 1 per 20,000 children a year. Two-thirds of children who develop ITP have had a recent viral illness. The mechanism is not fully understood but typically resul

Cardiology

VF Arrest: Prolonged CPR in an Electrical Storm

4/15/2023 Brenda Sokup, DO , Dulari Patel, DO , Nirav Patel, DO , Alexander Ostrovsky, MD

VF arrests can occur after days of symptoms and can proceed into a ventricular storm. This may require prolonged resuscitation with defibrillators, the definitive therapy of VF. Early dual sequence de

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?

Op-Ed

How To Care

4/15/2023 Sian Lewis-Bevan, MD

As I read and hear about other physicians in our specialty working through emotional burnout, I think that there must be something more we as a specialty can do for the next group of new physicians. B

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

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

Editor's Forum

Strength and Comfort in Vulnerability

4/15/2023 Thuy Nguyen, MD

In writing this, I am hit with the realization I never properly reconciled the emotional effects of this shift. There must be better approaches than the one I take now, which, if I am being honest, is

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,