Clinical Pearls

• Anti-NMDA Receptor Encephalitis

  Author: Meaghan Mercer, DOEmergency Medicine ResidentUniversity of Nevada School of MedicineAAEM/RSA Immediate Past President This post was peer reviewed.Click to learn more. A 19 year old otherwise healthy female presents to the ED with five weeks of changed behavior with increasing agitation, paranoia, violent behavior, and facial tics. The patient has no psychiatric history and […]
• Cardiac Infarctions Under Disguise

  This post was peer reviewed.Click to learn more. Author: Joshua Bowers, DO  Emergency Medicine ResidentAdena Regional Medical Center Ischemic heart disease and coronary artery disease (CAD) are two of the leading causes of death among adults in developed countries.[6] Patients with these disorders can present to the emergency department with problems that fall anywhere along […]
• Management of Upper GI Bleed in the Emergency Department

  Author: Aimee Almanzar, MSIVMedical StudentUniversidad Iberoamericana This post was peer reviewed.Click to learn more. Introduction to Upper Gastrointestinal (GI) Bleed Upper GI bleeding is a potentially life-threatening hemorrhage originating anywhere along the GI tract from the esophagus to the level of the ligament of Treitz. Bleeding from the upper GI tract is four times more […]
• Ocular Emergency: Globe Injury, A Non-Ophthalmologist Approach to Initial Treatment and Referral

  Author: Fernando Pellerano, MS-4Medical Student, Universidad Iberoamericana (UNIBE) This post was peer reviewed.Click to learn more. Ocular emergencies are immediate threats to the visual system that can lead to permanent loss of visual function.[1] Emergency medicine physicians should be able to recognize and provide initial treatment for sight-threatening ophthalmologic emergencies, including globe injury, before referral […]
• Acute Aortic Syndrome

  Source: Flickr Author: Nathan Haas, MD PGY-1University of Michigan Originally Published: Modern Resident February-March 2015 The acute onset of severe, ripping chest pain radiating to the back quickly brings to mind the diagnosis of aortic dissection. However, dissection is just one potential etiology of Acute Aortic Syndrome (AAS) which includes the acute presentation of aortic […]
• Vasoactive Agents in Septic Shock

  Author: Kristin E. Fontes, MDAcademic Fellow/Clinical Instructor, Division of Emergency MedicineStanford University This post was peer reviewed.Click to learn more.   Case: The patient is a 91 y/o female with hypertension, hypothyroidism, and Alzhiemer’s dementia brought in by ambulance from home for fever to 102 F and vomiting. There are no other complaints or symptoms […]
• EKG Rounds: Trauma Induced EKG Changes

  This post was peer reviewed.Click to learn more. Author: Meaghan Mercer, DOEmergency Medicine ResidentUniversity of Nevada School of MedicineAAEM Resident and Student Association President A 35 year old male presents to the ED after a motor vehicle collision with ejection. The patient has a Glasgow Coma Scale of 4 on arrival and is immediately intubated. […]
• Brugada-type EKG inducers

  This post was peer reviewed.Click to learn more. Author: Kristin E. Fontes, MDAcademic Fellow/Clinical Instructor, Division of Emergency MedicineStanford University CaseA 6 year old boy is sent to the ED by his outpatient cardiologist for fever. He has a history of an abnormal pattern on EKG when he has a fever. He has an implantable […]
• Cardiology Pearl: Brugada Syndrome

  This post was peer reviewed.Click to learn more. Author: Puja Gopal, MSIV Medical Student University of Illinois School of Medicine A 41-year-old otherwise healthy male presents to the emergency department after a syncopal episode while standing and waiting for the bus. He states he has been experiencing intermittent episodes of lightheadedness while at rest over […]
• Treatment of Diphenhydramine Cardiotoxicity

  Source: Flickr Author: Teng Lu, MDEmergency Medicine ResidentStanford-Kaiser Emergency Medicine Residency This post was peer reviewed.Click to learn more. CaseA 16 year old girl was brought in by family for ingestion of an unknown amount of diphenhydramine (Benadryl®) in a suicide attempt. Initial vitals were remarkable for sinus tachycardia at a rate of 120. Her […]

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