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A Junior Learner’s Approach to Dealing with Difficult Situations during Patient Care

In All Posts, Education & Quality Improvement, Knowledge Translation by Alexander WymaLeave a Comment

Why is this topic important? As a learner, you will inevitably experience “difficult” encounters during patient care. In fact, clerks and junior residents are more likely to label patient encounters as “difficult”.1 These encounters often involve patients that refuse to answer questions, use profanity, demand specific investigations or treatments, and express frustration with wait times. But why is it important for clerks and junior residents to learn how to handle difficult encounters with …

Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES): A Not-So-Rare Cause of Abdominal Pain?

In Medical Concepts by Alex SengerLeave a Comment

In this article, we will dive into the world of abdominal wall pain – specifically from a condition called Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES) – a diagnosis rarely considered when seeing patients with abdominal pain in the ED. Case Your next patient is Ms. Amanda Cnes, a 34-year-old female with abdominal pain. Before seeing the patient, you have a flip through her chart. She has had numerous ER visits for abdominal pain …

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Tiny Tip: “WARM CREAM” as a diagnostic mnemonic for Kawasaki Disease

In Featured, Tiny Tips by Justin HsuLeave a Comment

Kawasaki Disease is typically a self-limiting, medium vessel vasculitis that predominantly affects Asian male children between the ages of 1 to 5.​1​ One of the major complications from Kawasaki Disease is the development of coronary artery aneurysms. If left untreated, 20-25% of the cases of Kawasaki Disease are associated with coronary artery aneurysms,​2​ but the risk is reduced to <5% when treated appropriately.​3​ Thus, it is important to recognize the presentation of Kawasaki …

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Subungual Hematomas and Trephination

In Featured, Medical Concepts by Levi JohnstonLeave a Comment

Case Presentation You are a clinical clerk on your rural family medicine rotation working in the local emergency department. Your preceptor asks you to see a 25-year-old male who presents shortly after having hit his left index finger with a hammer while building a new deck this afternoon. He is otherwise healthy, he is not taking any medications, and he has no known drug allergies. He is right-handed and works as an electrician. …

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Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones

In Case Series, Featured, Medical Concepts by Will WuLeave a Comment

Patient Presentation On a cold winter’s day in Winterfell, a middle-aged man by the name of Lord Baelish was stood in front of the Northern and Vale lords to answer for his crimes. His cunning and deceitful nature nature has finally led to his demise. After taking back the North from Lord Ramsay Bolton, Lady Sansa Stark was prepared to punish Lord Baelish for years of lies, betrayals, and murders. Lady Arya of …

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Priapism Case Report: Robert De Niro’s Hard Situation in “Little Fockers”.

In Case Series, Medical Concepts by Anna BlackLeave a Comment

CASE PRESENTATION: Jack Byrnes, a 62-year-old Caucasian male, presented to the ER with a persistent, painful, 8-hour erection following the off-label use of Sustengo, a novel PDE5 inhibitor. Jack reports that he found a box of Sustengo samples among his son-in-law’s belongings and decided to try one. When his son-in-law discovered what had happened, he urged Jack to go to the ER. Jack refused and insisted that his son-in-law, a nurse, manage the …