Browsing: Clinical

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Critical Care Alert , Critical Care , Trauma

Critical Care Alert: PROCOAG Trial

4/17/2023 Christine Yang, MD , Alex Lucas, MD , Evan McMurray, MD
A new study evaluates whether administering 4-Factor Prothrombin Concentrate (4F-PCC) to patients at risk of massive transfusion due to trauma reduces the amount of blood products consumed.
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Pediatric EM , ENT

Not Just a URI: Serious Complications With Sinusitis

4/15/2023 Carly Rosen, MD , Celeenamma Daniel, MD , William Bonadio, MD
This case demonstrates the serious complications that can accompany sinusitis, including orbital cellulitis and septic thromboembolism with intracranial abscess. Rhinosinusitis, defined as inflammatio
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Op-Ed , Patient Interactions

The Ethics of Caring for an Unfavorable Patient

4/15/2023 Adiba Matin, MD
Debriefing, leaning on peers, and seeking mental health help are all important steps in caring for unfavorable patients. Acknowledge the emotional toll that this may take on you, approach the situatio
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Pediatric EM , Hematology

Mystery Bruising: A Case of Post-Viral ITP

4/15/2023 Caroline Lawless , Timothy Truman, DO , Nicole Laslett, DO
The incidence of post-viral ITP is about 1 per 20,000 children a year. Two-thirds of children who develop ITP have had a recent viral illness. The mechanism is not fully understood but typically resul
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Cardiology

VF Arrest: Prolonged CPR in an Electrical Storm

4/15/2023 Brenda Sokup, DO , Dulari Patel, DO , Nirav Patel, DO , Alexander Ostrovsky, MD
VF arrests can occur after days of symptoms and can proceed into a ventricular storm. This may require prolonged resuscitation with defibrillators, the definitive therapy of VF. Early dual sequence de
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Dermatology , Hematology , Oncology , Toxicology

Warfarin-Induced Skin Necrosis: Not Your Typical Rash

4/15/2023 Brandon Murdock, MD , Chung-ting J. Kou , Paul A. Gonzales , David M. Crawford
Warfarin-induced skin necrosis (WISN) is a rare condition thought to be due to microvascular thrombosis and ischemia and is commonly related to protein C deficiency. Recognition of WISN is critical to
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Gastroenterology , Pediatric EM

Trichobezoar: A Case of Swallowed Hair in an Adolescent Patient

4/15/2023 Simi Jandu, MD , Ashima Goyal , Jatinder Gosal, MD
Trichobezoars are an uncommon diagnosis but should be considered in the differential for patients presenting to the emergency department with abdominal pain. It is especially important not to overlook
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ECG Challenge , Cardiology

ECG Challenge: April-May-June 2023

4/15/2023 Hayden Schenker , Jeremy Berberian, MD
A 58-year-old male with a PMH of alcohol use disorder presents to the ED due to multiple falls. What is your interpretation of his ECG?
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Pediatric EM , Nephrology

A Case of Constipation … or Not

4/15/2023 Karly Lebherz, MD , Anna Suessman, DO
Nephrotic syndrome (NS) is diagnosed by the presence of proteinuria, hypoalbuminemia, and peripheral edema. Hyperlipidemia and thrombotic disease are also frequently observed. Most cases of NS in pedi
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Toxicology

I Ordered the Urine Drug Screen, Now What? An Overview on Testing, Interference, and Utility of UDS in the ED

4/15/2023 Mason Jackson, MD , Lindsay Davis, DO, MPH, NRP , Alexa Peterson, DO, MS
The urine drug screen is a widely used, but imperfect, diagnostic test. Because of its potential flaws, it should not be used out of context or in isolation, but it remains a valuable test in the tool