Bread and Butter EM: Epistaxis

A 75 y.o m not on blood thinners presents for epistaxis. He states that for the last 2 hours, he has had bleeding from his bilateral anterior nares. He attempted to hold pressure at home without resolution. He feels a slight trickle of blood down his posterior pharynx, but denies any difficulty breathing or speaking. …

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Bread and Butter EM: Tick for tat, Which Tick is that?

With spring in the area, the temperature is warming up and maybe that bambi remake announcement was the final push needed to get people out on the trails and hiking through the hills again. With the increased traffic through the woods comes the inevitable presence of those freeloaders that hop on for a lift and …

Continue reading Bread and Butter EM: Tick for tat, Which Tick is that?