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Spot the Diagnosis! The Case of the Bloody Man

In Arts PRN, Featured, Medical Concepts by Leah ZhaoLeave a Comment

As part of the Arts PRN series, we will intermittently be featuring pieces of historic art that hint at an underlying medical condition. They say a picture is worth 1000 words… can you Spot the Diagnosis after examining only a painting? Read on to learn not only about the art, but about these fascinating medical conditions. Who knows, maybe they’ll help you make a diagnosis some day (or at least help you out on Jeopardy)! …

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What to do if your Patient is Poisoned by a Nerve Agent

In Clinical Questions, Medical Concepts by Tanishq SuryavanshiLeave a Comment

While working in your emergency department, you receive news a number of patients have been found at a bus station unconscious. It is suspected that some sort of attack may have occurred. The first patient is brought to your ER, with obviously soiled clothing, vomiting and aggravated. As you make your way towards the bedside, the patient suddenly begins to seize. Overview: This past month, the assassination attempt of a Russian ex-spy and …

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When and how to treat hyponatremia in the ED

In Clinical Questions, Medical Concepts by Andrei SmarandacheLeave a Comment

Electrolyte imbalances like hyponatremia can be the cause of a variety of vague complaints. At the same time, patients may present with electrolyte abnormalities that are asymptomatic and are incidental findings on bloodwork. Here’s an approach to deciding when and how to treat hyponatremia in the emergency department. We also thank Drs. Joel Topf (@kidney_boy) and Dr. John Neary (@jddneary) for their valuable input on this article! The Case Marjorie, an 83-year-old female, …

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Case Report: Pregnancy and Trauma in the Game of Thrones

In Case Series, Medical Concepts by Will WuLeave a Comment

This is the 3rd Episode of the Game of Thrones Case Series. Be sure to also review Hypothermia and Traumatic Arrest in the Game of Thrones and Toxin-Induced Cardiac Arrest in Game of Thrones. Patient Presentation and History During the wedding of Edmure and Roslin, a young pregnant woman of unknown gestational age was found unresponsive with multiple abdominal stab wounds on the floor of the great hall at The Twins. Lord Frey allegedly planned …

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Shocked? Hands On Defibrillation

In Medical Concepts by Sean McIntoshLeave a Comment

High quality chest compressions and defibrillation are two of the most meaningful interventions in a cardiac arrest1. If you have taken Advanced Cardiac Life Support (ACLS), you’ve heard the mantra “I’m clear, you’re clear, everybody’s clear.”1 During delivery of a shock, valuable seconds of chest compressions are lost. This pause in chest compression translates to a decrease in coronary perfusion pressure, one of the largest predictors of return of spontaneous circulation (ROSC).2 After chest compressions resume, …