Tox Craze

Written by Alex Brevil A 52 y/o woman w/ fibromyalgia is found alone in her room in a confused state by her maid. She recently lost all of her retirement money and constantly “Blames Obama.” She is then rushed to…

PE or not PE, that is the question…

Written by Randi Ozaki             …and probably one of the more annoying clinical questions that we’re faced with in the ED. PERC (pulmonary embolism rule-out criteria), D-dimer and Well’s criteria have been discussed ad nauseam,…

Rhythm Nation- July 2015 ANSWER

Here is the EKG: The first interpretation would be to figure out the differential diagnosis for a regularly irregular rhythm in coupled beats. Without looking into more rare causes of coupled beats, the common causes includes atrial bigeminy, ventricular bigeminy,…

Popping Bottles

It’s a busy day in the Emergency Department and you pick up a patient sent from clinic to “r/o appendicitis.” He is tachycardic and appears uncomfortable with moderate RLQ abdominal tenderness. Your attending tells you to give the patient some oral…