The Case 75 yo female, multiple medical problems presents with subjective fever/cough for 2 days. Work-up shows – nml VS, lactate 1 and left lower lobe infiltrate. Unfortunately she’s CURB-65 of 2 (age and BUN) with PORT score of 95. …
We’ve all been there – the 89 yo with cancer you want to admit for pneumonia who doesn’t want to spend another precious day in the hospital…the NSTEMI that has to sign out AMA to stop his car from getting…
The Case So the radiology resident says to me in disbelief, “you want another lower extremity Doppler when this patient had a negative study 2 weeks ago?” I answered, “Yes. A single one does not rule out DVT.” He asked…
It’s a busy shift in good old A pod. A nurse comes up to you with a bag of blood tubes for a vomiting patient and asks if you want to shotgun labs and give some anti-emetics. You happily oblige,…
The Case: (due to HIPAA all facts in this case have been changed) Middle aged Male, currently being treated for malignancy (with mets to liver/kidney/chest) presents with SOB from recurrent pleural effusions and is found to have a DVT. Other…
For those of you not in conference last Wednesday, there was a brief review of Rhabdo that listed bicarb as a potential treatment. Feeling like the junior that I was (but of course am no longer), I was hesitant to speak and,…
Welcome to the first edition of the California version of Staten Island Corner. It’ll be similar to the old Staten Island Corner but with more smiles and vegetables. I think we’ve all been in the following situation: You’re in…