With anywhere from 15-25% of pregnancies naturally terminating prior to the end of the first trimester, spontaneous abortions are common1. We frequently see UCG+ patients with vaginal bleeding and pain present to our ER. During my Gyn Sono rotation, I…
“Exam room 3 is a sign out, 23 yo F, here for nausea, found to be pregnant. US shows IUP, good heart rate. No VB, has outside PMD. Got Zofran, tolerating PO. No urinary complaints, but we are waiting for…
CCT 4 AM. Trauma Note – GSW to abdomen. On arrival, wound to RUQ, another to L flank. HR 130s, BP 70s/40s. The CCT junior throws in two 14 gauge peripheral IVs, and attaches the trauma lines. Two liters NS…
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…