Young Woman With Epigastric Pain

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on Young Woman With Epigastric Pain

A 21-year-old woman who had intermittent history of acid-related dyspeptic pain presented to the emergency department with 5 days of worsening colicky epigastric pain and occasional vomiting. The patient had…

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Sedating the Agitated Patient: A Moving Target?

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on Sedating the Agitated Patient: A Moving Target?

The latest trial by Taylor et al provides further support for the efficacy of droperidol and midazolam coadministration in sedating agitated emergency department (ED) patients. The authors’ detailed reporting of randomization…

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In-Flight Emergency

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on In-Flight Emergency

Last month I was called to assist a passenger on a flight from Toronto to Los Angeles. The passenger was a woman in her early 60s who was feeling weak…

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Boy With Fever and Abdominal Pain

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on Boy With Fever and Abdominal Pain

A 9-year-old previously healthy boy presented with 5 days of low-grade fever, bilious emesis, and intermittent abdominal pain. He was initially admitted for suspected gastroenteritis and treated with intravenous fluids….

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One and Done: Steroids for Adult Asthma

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on One and Done: Steroids for Adult Asthma

Discussion Points 1. Rehrer et al performed a randomized clinical trial to compare two corticosteroid regimens for treating adult patients in the emergency department (ED) presenting with acute asthma exacerbations. A….

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Man With Throat Pain

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on Man With Throat Pain

A 55-year-old man presented to the emergency department (ED) with a 2-day history of severe, sharp pain on the right side of the throat. He also reported being unable to…

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A Man With Severe Back Pain

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on A Man With Severe Back Pain

A 63-year-old man with rheumatoid arthritis presented to the emergency department with new-onset severe low back pain starting 6 hours before presentation. Vital signs were normal and physical examination revealed a…

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Yet Another Cut

May 2, 2017 by in EMERGENCY MEDICINE Comments Off on Yet Another Cut

A salute to a patient With one breast A scar across her chest With one arm taken away She came into the ER today Metastatic Liposarcoma of RUE Amputation of…

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