Is that a yolk sac? a fetal pole? not sure? Then it’s not a DEFINITIVE intrauterine pregnancy! Medical student Michael Brooks discusses a case of indeterminate findings that led to a diagnosis of ectopic pregnancy. He highlights the findings suggestive of an ectopic pregnancy on POCUS and difficulty in making the diagnosis!
Read MoreAnother great week of Grand Rounds kicked off by Dr. Lex Kimmel’s Morbidity and Mortality Conference touching on Ectopic Pregnancy, Finger Dislocation and DOAC overdose management. Dr. Goff presents a case follow up of a gastritis complication. Firearms are lethal, join Dr. Yates as she discusses how to prep yourself with the data to help our patients. Finally we get specialist lecturers discussing acute management of acute occlusive event management in sickle cell disease.
Read MoreJoin us as we dive in to some terrifying cases of gynecologic pathologies in the ED followed by tips and tricks on lifelong learning from the amazing clinician and medical educator Dr. Jenny Beck-Esmay through our visiting lecture series! We then continue our journey to always be improving patient care and have some excellent discussion in our monthly Morbidity and Mortality Conference with Chief Resident, Dr. Colleen Laurence. Don’t miss all the incredible nuggets of wisdom from this week’s Grand Rounds!
Read MoreWe had a fantastic Grand Rounds this week!! Dr. Li kicked us off with our monthly Morbidity and Mortality conference, covering cases ranging from methamphetamine intoxication to the evidence behind the medical pan scan. Dr. Harty then led us through several cases where ultrasound made critical diagnoses that completely altered patients’ clinical courses #SonoWavesFTW. Dr. Modi passionately educated us on the importance of an individual’s name, in both identity and cultural significance, and how crucial it is to respect and pronounce names correctly. Lastly. Drs. Berger, Irankunda, and Urbanowicz expertly discussed pediatric orthopedic injuries.
Read MoreCharacterizing location of an intrauterine pregnancy is a key portion of the sonographic exam in early gestation. In this month’s case Dr. Leech describes a case concerning for lower uterine gestation, as well as the diagnostic and therapeutic considerations for this pathology.
Read MoreThis week, we started things off with a great Quarterly Sim led by our faculty. The oral boards cases, led by Drs Stettler and Roche, involved an acute presentation of holiday heart, a post-partum patient with flash pulmonary edema, and a very questionable spider bite. The simulation, led by Drs Fernandez, Hill and Stolz, focused on two patients that were in shock: one due to a ruptured ectopic pregnancy and one due to a pericardial tamponade. We then moved on to the pediatric side of things, where Dr. Gleimer discussed neonatal rashes, and we took a look at pediatric syncope with Dr. Fananapazir.
Read MoreCase #1: 28 yo M who was poked in the eye while wrestling. Small periorbital ecchymosis, conjunctival erythema, reactive pupils, consensual photophobia, fluorescein negative. Normal IOP bilaterally.
Read MoreYour patient is a well appearing, otherwise healthy 22 year old female who presents with lower abdominal pain x3 days. She is unsure of her LMP, but thinks she had some spotting about a month ago. Vital signs: Temp 99.3F, HR 92, BP 102/70, RR 20, 98% on RA. She has a benign, non-gravid abdomen. Urine pregnancy is positive. You fire off a quantitative hCG and don’t expect that result to come back for a while. What do you do next?
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
