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So, this guy had a megawork up on the floor after his ER visit. First things first, his CT was negative for PE but showed retrocardiac b/l lower lobe interstitial infiltrates (which has a broad differential). I started IV antibiotics and basically blasted him with fluids. His BP was better [...]
Quick joke: What did the Egyptian Psychiatrist say to the man standing in the river? You’re in denial. Ba bump! Anyway, this lady recently came in for a totally unrelated problem – but the first thing anyone with functional eyes noticed is this woman in her [...]
Word to the wise. If your life is dependent on the proper functioning of a device implanted in your chest, it is a good idea to make sure it receives its scheduled maintenance. Just like your car, if you ignore it, it will eventually leave you stranded. Although in this case, it may [...]
ER docs are often disparaged for not really knowing much about certain diseases and or fields that do not really interest them – most notably GYN, Haematology, Ophtho, Pysch, etc. We tend to just boil it down to a few things we worry about and turf the rest to the specialists. However, [...]
The other day I had a guy in his 40’s come in with a sore throat – pretty damn common and usually completely unexciting and non-emergent complaint. However, this was one of those cases where you take one look at the guy and listen to him answer one question, and your spidey sense tells [...]
When people come in with complaints of “double vision”, I find it is almost always bull. It rarely really is true diplopia – it is 99% of the time “blurred” vision or something else nonspecific. True double vision is worrisome. It implies a problem with the muscles that move the eye – causing one [...] |
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