The Case A 64 year old female is brought in by her sister with a variety of chief complaints. 1. Blurry vision – acutely worse this morning. 2. Worsening shortness of breath, especially on exertion and on lying flat for…
This month’s critical care mini-fellowship discussion was about the article, “Timing of Vasopressors in Septic Shock” as well as a review of the recent PROCESS, ARISE and PROMISE trials. Overall mortality rates in septic shock improved significantly from the 1990s to 2012 which coincides…
The Case 7 year old Hispanic male presents to an imaginary ED with complaints of “heart racing” for one day. He has a known history of HTN and is on metoprolol. Parents are unsure of other cardiac history. VS:…
Here’s the image again: good job, Dr. Berkowitz! The image shows SCFE of the right hip. SCFE Slipped capital femoral epiphysis results from a Salter-Harris physeal fracture. Mainly occurs between ages of 10 -16 years. Incidence is higher in boys…
Excellent interpretation by Dr. Tepler! Exactly right, bradycardia and Osborn waves were concerning for a cold patient – in this case had moderate hypothermia. The Osborn wave (aka J wave) is seen in a variety of conditions. It can be…