Heart of EM , Wellness , Medical Education

Pregnant in Residency: An Act in Three Parts

12/3/2024 Ellen Shank, MD

Being pregnant during residency presents many challenges - including the delicate balance between caring for patients and caring for the developing life inside. How do we hold these two realities in t

Wellness , Medical Education

Healthy Sleep Patterns During Residency: Recommendations for Maintaining Adequate Sleep Routines with Advice on Habits to Avoid and Scheduling Benefits to Seek

12/3/2024 Jessie K. Cable, DO , Danielle A. Andrews, MD, MPH

What are realistic ways to overcome obstacles and prioritize good sleeping habits during residency? In this paper we offer recommendations for maintaining adequate sleep routines with advice on habits

Trauma , Urology , Psychiatry , Toxicology

Auto-Orchiectomy: Examining Cases, Causes, and Motives

12/3/2024 Samantha K. Kos, MS , Hannah G. Davis-Adams, BS, BA , Brooke M. Beers, MS , Bryan R. Troop, MD, FACS

Auto-orchiectomy has been linked to psychosis, substance use, and psychiatric disorders. Treating the result of the behavior is critical - but it’s also important to address the underlying impetus.

Vascular , Ultrasound

Differential Beyond Deep Vein Thrombosis for Unilateral Leg Swelling: A Case of May-Thurner Syndrome in the Emergency Department

12/3/2024 Shaylor Klein, DO, MSEd , Jamie Adamski, DO, FACOEP, FAAEM

Since almost 1 million of cases of deep vein thrombosis (DVTs) are diagnosed each year in the United States, it can be an easy diagnosis to make at the door. However, when the ultrasound is negative,

Toxicology , EMS , Prehospital Care

Buprenorphine on Wheels: Management of Opioid Use Disorder in Pre-Hospital Setting

12/2/2024 Carlos Rodriguez, DO , Sergio Camba, MD , Kimberly Baldino, MD

When paramedics initiate buprenorphine treatment for opioid use disorder (OUD) and suspected overdose in the prehospital setting, they reach patients who face the highest risk of opioid-related mortal

Infectious Disease , Ophthalmology , Neurology

Neurosyphilis: More Than Meets the Eye

12/2/2024 Prateek Khurana, DO , Anna Poteraj, MD , Zhanna Roit, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C

With the rising prevalence of neurosyphilis over the years, emergency medicine physicians should be cognizant of this can't-miss diagnosis in patients with focal neurologic findings, new-onset dementi

Toxicology , Dermatology , Psychiatry

Osteomyelitis and Auditory Hallucinations Associated with Long-Term Inhalant Use

12/2/2024 Laura Szczesniak, MD, PhD , Michael J. Uihlein, MD, CAQ Sports Medicine

The use of inhalants can lead to classic findings in the emergency department, but don’t forget to perform a thorough skin exam in any patient experiencing the effects of huffing.

Infectious Disease , Ophthalmology , Dermatology

Vision Loss Leading to HIV Diagnosis

12/2/2024 Bryan Knickerbocker Carnes, MD , Thomas Payton, MD, FACEP , Jason Burkett, DO, FACEP

A patient presenting with ophthalmic syphilis may have more health conditions at play. Would you include HIV on your differential diagnosis?

International

The Bridge to Norway

12/2/2024 Tina Yang, DO

Emergency medicine may be more than half a century old in the United States, but it is still in its infancy in many countries. New York Presbyterian Queens offers educational outreach to Norway, helpi

Neurology

Bilateral Thalamic Infarct: A Diagnosis Not to Sleep On

12/2/2024 Benjamin Kartub, MD , Abby Cosgrove, MD , Khalid Alsherbini, MD, FNCS

Occlusion of the Artery of Percheron leading to isolated bilateral thalamic infarcts is a rare and difficult diagnosis in emergency medicine. Learn the symptoms that can help keep it top of mind.

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