So you get this guy, 23 yo M with schizophrenia and depression brought to ED by Mom for “acting strange”. Mom reports a recent change in his psychiatric medication, but does not know the specifics. Patient is agitated and not…
Author: andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
Rash and Crying?
By Dr. Jacqueline Bober 4-year-old patient is BIB Grandma for not walking well. She states every time he tries to walk he cries. Physical Exam is noted for the rash below: References…
ED Tracking: It Sounds So Simple, Doesn’t It?
By Yonatan Yohannes In July’s edition of ACEP Now, an article titled “Seven Best Practices to Reduce ED Misuse” discusses policies implemented in Washington State to reduce the overall cost of Emergency Department care. These policies were pioneered by…
NOT Board Review
You’re kicking back in an empty CCT when you hear a ruckus in the hallway. In comes in a young man with a penetrating injury to the neck. He’s stridorous and diaphoretic on arrival. …
Not Bored Review 9/16/14
A 2 week old presents with multiple episodes of green vomiting today with inability to tolerate PO. Pt has had no fevers and normal birth history. On exam, baby has a distended belly with moderate generalized tenderness. …
Case #3 Answer!
Thanks for the variety of responses. The winner of course is ablumenberg thanks to his thorough differential diagnosis. The Case In short, we have a 54 yo male with ptosis x 2 weeks and no other symptoms or complaints. …
Wed Wrap Up for 9/10/14
Clinical Monster @kingsofcounty · Dr. Andrea Ferrari lecturing about sick kids. #clinicalmonster #emconf Clinical Monster @kingsofcounty · What to do with an ALTE baby?…….always admit for observation. http://www.ncbi.nlm.nih.gov/pubmed/22855928 #clinicalmonster #emconf Clinical Monster @kingsofcounty · Intussusception re-occurs 7-12% post reduction. Perhaps best to observe? How long? http://pediatrics.aappublications.org/content/134/1/110.abstract ……
Never Bored Review 9/9/14
Made up Case: 70 yo ESRD (LUE fistua, MWF, last yesterday), HTN, DM, severe COPD presents peds struck by semi: Airway, Breathing, Circulation initially intact, IV/O2/Monitor placed 102, 150/60, 28, 93% on RA Secondary survey neg except for pan-right sided…