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A “Friends” Case Report – Joey’s Urolithiasis

In Case Series, Featured by Anna BlackLeave a Comment

Presentation Joey Tribbiani, a previously healthy 28-year-old male, presents to the ED with left-sided flank pain. In the past 12 hours, he has had four 20-minute episodes of sudden onset, severe left flank pain radiating to the groin. During these episodes he was unable to find a comfortable position. He felt nauseous and had one episode of emesis. He denies hematuria and any lower urinary tract, gastrointestinal, or respiratory symptoms. He reports no …

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Must Not Miss Pediatric Fractures

In Featured by Suhail AgarwalLeave a Comment

Andy is a 9-year-old male presenting to the emergency department after a left sided FOOSH injury. The initial survey indicates no other associated injuries or neurovascular compromise. However, Andy is holding his left arm and describes a poorly localized pain along his wrist and forearm preventing him from moving it. His immunizations are UTD and he is otherwise healthy without any history of orthopedic injuries. What are your differential diagnoses? What findings on …

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Approach to Caring for Homeless Patients in the ED during the COVID-19 Pandemic

In Education & Quality Improvement, Featured by Claire BodkinLeave a Comment

Introduction It’s a cliche that holds true now more than ever – the emergency department really is the front door to the medical system. Despite many health and social services shuttering or moving to virtual care during the COVID-19 pandemic, the emergency department remains open 24/7. Our EDs are still committed to seeing anyone who shows up, in communities of all sizes from coast-to-coast. And while we try to keep people at home …

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ClerkCast Episode 4: Adult Fever

In Featured by Ben ForestellLeave a Comment

Welcome back to ClerkCast! Today we are sitting down with Dr Alim Pardhan, FRCP EM program director at McMaster University, Hamilton General Hospital site lead, and a passionate medical educator. Key takeaways from this episode are: Understanding the mechanisms behind fever and hyperthermiaThe causes of hyperthermia – think drugs, CNS infections, thyroid storm, and environmental exposureFive big, bad, and deadly causes of fever in our patients in the ED – necrotizing fasciitis! Endocarditis! …