Author: Jay Khadpe MD

Editor in Chief of "The Original Kings of County" Assistant Professor of Emergency Medicine Assistant Residency Director SUNY Downstate / Kings County Hospital

Morning Report: 5/31/2012

Thank you to Dr. Pearsall for today’s Morning Report:   Reversing coumadin-associated ICH: PCC vs FFP   Vitamin K for sustained reversal of vit-K dependent coag factors (10mg IV slowly) Oral anticoagulant therapy increases degree of bleeding, with mortality >…

Morning Report: 5/30/2012

Today’s Morning Report is courtesy of Dr. Benson:   “I think I (k)nee-d some help”   42 y/o M presents for right knee pain and swelling, occurring for the last few days, notably worse today.   Differential?   Trauma Septic…

Morning Report: 5/22/2012

  Here’s a Morning Report from Dr. Julie on Hemolytic Uremic Syndrome:   HUS   Cause EHEC (Shiga toxin-producing enterohemorrhagic E. coli) 70% of US HUS cases 0157:H7 (Most US cases) O104:H4 (Germany last yr) 0111 (Australia and US) Shigella…

Morning Report: 5/21/2012

Here’s Dr. Caputo with an overview of the presentation, diagnosis, and management of Fournier’s Gangrene: FOURNIER’S GANGRENE Rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with a potentially high mortality rate (15-50%) The…

Morning Report: 5/14/2012

Today’s Morning Report was originally presented by Dr. Tan on 5/7/2012: Left Ventricular Assist Device (LVAD)   Indications: New York Heart Association class 4 heart failure Ejection fraction <25% VO2 max less than 15 among other criteria How does it…

Morning Report: 5/10/2012

Thanks to Dr. Yeo for today’s Morning Report on Acute Angle-Closure Glaucoma! Acute Angle-Closure Glaucoma Introduction: Ocular emergency caused by sudden/increase in IOP Prolonged increased IOP may lead to optic nerve damage and irreversible blindness Iris is pushed or pulled…

Morning Report: 5/7/2012

The following is a case presentation courtesy of Dr. Lau:   56 yo M h/o DM, HTN, previous cocaine abuse, CHF (EF 15-20%) presents with mild shortness of breath and chest pain. Initially, vitals BP 105/62, 85, 20, 98%. Patient…