Pulmonary , Diagnostic

Lie Back and Breathe Deep: Pathophysiology and Workup of Platypnea-Orthodeoxia Syndrome

12/30/2025 Kevin Kelley, MSIV , Gregory Wu, MD

Platypnea-Orthodeoxia Syndrome presents a diagnostic conundrum. This rare syndrome causes dyspnea and hypoxemia, but management must entail identifying the underlying condition.

SCAD - Fig 1 - angiogram-revealing-dissection.png

Cardiology

A Rare Case of Spontaneous Coronary Artery Dissection in a Healthy Young Male: Physiologic and Psychosocial Considerations

12/30/2025 Agata Dow, MD , Elizabeth Shaheen, MD , Alaa Ibrahim, DO , Ania Jane Dow

Spontaneous coronary artery dissection may not be a common finding among young, previously healthy adults—but in the post-COVID era, it is important for clinicians to maintain a heightened clinical aw

Critical Care , Toxicology

ECMO for Salvage Therapy in Severe Salicylate Toxicity

12/30/2025 Cade Johnson, MD, MBA, MPH , Hannah Mainor, MD

Salicylate toxicity can present with vague symptoms that rapidly escalate into a life-threatening condition. This case highlights the catastrophic consequences of severe salicylate toxicity and the ch

Wilderness Medicine , Medical Education

Wilderness Medicine on the Trail

12/29/2025 Sean McCullough, MD

Experiential learning can be found throughout medical education, in simulation and skills labs. Allegheny General Hospital’s EM residency program took the concept to a new level.

Critical Care , Cardiology

A Pain in the Hip: An Atypical Presentation of Acute Aortic Dissection as Isolated Right Hip Pain

12/10/2025 LT Michael Shulby, DO, MC, USN , CDR Eric J. Joch, DO, MC, USN , LT Matthew A. Tovar, MD, MC, USN

Acute aortic dissection may present atypically, often without the classic "tearing" chest or back pain. Instead, patients may present with syncope, neurologic deficits, pulse deficits, referred pain,

Airway , Infectious Disease

Silent Swell: Ludwig’s Angina Resulting in Airway Obstruction

12/9/2025 Raymond Senu, MS4 , Blake Briggs, MD

Ludwig’s angina is a rapidly progressing and potentially fatal infection that requires rapid identification and management. Learn the basics of recognizing and initiating treatment for this critical c

Pseudo SAH - cervical medial branch block.png

Critical Care , Neurology

Pseudo-Subarachnoid Hemorrhage Following Cervical Medial Branch Block Using Gadolinium-Based Contrast: A Case Report and Review of the Literature

12/9/2025 Charles Adams, DO, PGY-2 , Cheri Lotfi, DO, MS , Zachary Weinerman, MD

This case report explores the evidence behind recognizing and treating conditions caused by gadolinium-based contrast agents — including pseudo-subarachnoid hemorrhage.

Critical Care , Patient Interactions , Technology, Telehealth, and Informatics

FaceTime as a Tool for Remote Communication in Sudden Death and Resuscitations

12/9/2025 Stephanie Radu, MD, MCR , Casey Wilson, MD, RDMS, FAEMUS , Mark Plexousakis, DO

Life-threatening emergencies can occur when patients’ family are not present, making critical decision-making more difficult. What role does FaceTime play in this situation? What are the legalities su

Toxicology

Severe Methanol Poisoning Managed Using Bicarbonate Therapy and Hemodialysis in the Absence of an Available Antidote

12/8/2025 Pham To Uyen, MD , Huynh Minh Tri, MD , Vo Do Danh, MD , Hoang Anh Tien, MD, PhD

Methanol poisoning constitutes a life-threatening medical emergency in critical care, particularly in developing countries where unregulated or illicitly produced alcohol is commonly consumed. In many

Neurology

Unmasking Atypical Stroke: Isolated Left Wrist Drop Due to Hemorrhagic Stroke—A Case Report

12/8/2025 Stephen Contreras, BSN, RN, MS4 , Grace Han, MS4 , Cynthia Rincon, DO, PGY-3 , Habiba Khan, MD, PGY-3 , James M. Brown, MD, FACEP

Stroke remains a major cause of morbidity and mortality worldwide, with hemorrhagic strokes accounting for approximately 10–20% of cases. Classic symptoms like hemiparesis or aphasia often lead to ear

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