December 10, 2023

Gout and YOU (ric acid level)

Is there utility in checking uric acid levels during an acute attack of gout?
October 16, 2023

Eye see Metal

A 20 year old male presents after grinding some metal three days ago without any eye protection. He now has pain in his left eye. This is what you see on examination: What should you do next?1 – attempt removal 2 – CT scan 3 – antibiotics
October 3, 2023

Should this patient with a DVT have been admitted?

A real-life case of a patient sent home with a DVT who dies while waiting to fill her prescription.
September 27, 2023

Migraine treatment

There are many therapeutic options for patients with a headache - here's a review of what's available.
September 25, 2023

Achilles Tendon Ruptures

Physical exam is critical for diagnosing ankle and foot injuries. It’s easy to order the x-ray and rely on a radiologist to make the diagnosis for you, but there are a few ‘can’t miss’ things to evaluate for on the physical examination. One such injury
December 31, 2022

1 rash every ER doctor should know

A rash that everyone who works in the ER should be able to recognize.
December 9, 2022

Stroke: when rules don’t apply

Will published standards/guidelines protect you in a lawsuit? A male in his 70’s presents to the ER with aphasia and hemiparesis. He is within the 3 hour window for tPA. However, he is on warfarin for atrial fibrillation. His NIHSS score is 27 and INR
October 6, 2022

Don’t ignore severe back pain!

Always consider serious spinal pathology whenever a patient presents with severe back pain. The following is a real malpractice case with some dates/info changed to fit the format. The case settled for $2.75 million. That part has not been changed. Case: On Monday, a patient
July 2, 2022

Can’t Miss Diagnosis!

Be careful when sending patients home from the ER with pending blood cultures!
Contact Me
Subscribe Today

SUBSCRIBE 
Your information will never be shared