Case A mid 60s female patient was brought into the emergency department via ambulance after a motor vehicle accident that occurred 20 minutes prior in which she was the restrained driver. She has known past medical history of hypertension, hyperlipidemia, and obesity. The accident occurred on a residential street where the patient reportedly was driving …
Introduction: As medicine is ever changing, new diseases and symptomatology are being classified differently according to the etiology, presentation, clinical findings, and treatments of subsets of disease pathology. There have been various names throughout the continued advancement of medicine for acute pulmonary edema, but there have also been various clinical findings and differences in treatments …
Continue reading Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
Title: Evidence-Based Medicine Improves the Emergent Management of Peritonsillar Abscesses Using Point-of-Care Ultrasound. J Emerg Med. 2020 Nov;59(5):693-698. doi: 10.1016/j.jemermed.2020.06.030. Epub 2020 Aug 19. What is already known about this topic?Ultrasound is an accepted modality for detecting peritonsillar abscess (PTA). There are two described approaches transcutaneous with linear transducer and intraoral with an endocavitary probe …
Continue reading POCUS Peritonsillar Abscess: A literature Review
26 year old male of filipino descent presents with diffuse motor weakness that was present upon waking this morning at 0400. Patient reports he was of normal health and asymptomatic last night and in the preceding days. Patient denied recent infectious symptoms such as diarrhea, cough, congestion, fevers, chills, urinary changes, rashes or insect bites. …
Continue reading Case of the Month: The paralyzed 26 year old.
Title: The Utility of Midline Intravenous Catheters in Critically Ill Emergency Department Patients. Ann Emerg Med. 2019 Dec 24. pii: S0196-0644(19)31236-3. doi: 10.1016/j.annemergmed.2019.09.018. What is already known about this topic?Previous studies have shown midline catheters inserted in upper arm veins have lower complication rates compared to central lines, and high rates of successful placement in …
Continue reading Midlines in the Emergency Department; a literature review
Whether for Journal Club, or while on the road of lifelong learning, being able to read journal articles is a core skill physicians must master. While it is tempting to merely read guidelines, summaries, or others’ analyses of articles, this will not help you become the best possible physician you can be. Choosing and evaluating …
A 31 year old female with a PMH significant for epilepsy and intellectual disability presents to the ED via EMS due to continuous seizure activity. EMS reports that the patient was having tonic-clonic seizures for 30 minutes prior to their arrival—family did not feel comfortable administering her abortive antiepileptic medications as they only had Ativan …
An 88 y.o f arrives to the ED for an eye injury. She reports that she had a fall at home hitting her left eye directly on the bed post. She now complains of severe pain and swelling in her left eye. On physical examination, she has severe periorbital swelling and has a laceration likely involving the lacrimal …
A 50-year-old female comes to the ED with a headache. The room is dark as I enter and she is holding her head with her hands. She reports that the pain started suddenly while driving and was instantly the worst headache she ever had. The pain hasn't changed at all. There was no trauma. She …
Often times when presenting a patient as an intern, we’ll feel that our attending is being a tad overzealous. Is it possible this man with back pain has an aortic dissection? Yes, it is. Is it out of the realm of possibilities? Just about. However here is a case that plays homage to the classic …
AOMC FOAMed 
You must be logged in to post a comment.