By Baruch Berzon MD and Richard Sinert MD Case Presentation A 32 year-old male presents in August to EMS with complaints of “flutter in my chest” and light-headedness for an hour. The paramedics find a young man in mild distress…
ARVD/C
Category: EM…From the IM Prespective
A dose of primary care for hyperglycemia in the ED: optimizing the discharge.
Written by: Raymond Beyda For the non-emergent, non-ketotic, non-acidotic, uncontrolled hyperglycemic… Case: A 47 yo M h/o DM with frequent ED visits presents feeling dizzy and lightheaded x 3 days. ROS is positive for polyuria and polydipsia. Vital signs are within…
Oligoanalgesia
A CASE: A 40 y/o black homeless man presents with difficulty walking secondary to extreme left lower extremity pain. On exam, the patient is afebrile, HR 105, RR 20, BP 120/65. His extremity is swollen, warm, erythematous and extremely tender…
You think you know asthma?
A 25 y/o smoker presents to the ED with SOB and tells you her asthma is acting up. You think to yourself, “I love the crashing asthma patient!” Within 5 minutes bipap is bedside, solumedrol is given and somehow she’s…
It’s (almost) Never Lupus
By Dr. Jacqueline Shibata A 35 y/o with Lupus presents to the ED with 1 day of chest pain…. The worst because, as we all know, systemic lupus erythematous (SLE) is an autoimmune rheumatologic disease that can be deadly…