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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. 2-4, 6 If there is a concern for perforation or sepsis, surgical consultation, blood cultures, empiric antibiotics, and fluids are recommended.

EMS 98
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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. Disposition is based on overall clinical presentation, inciting etiology, and consultant evaluation.

EMS 96
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emDOCs Revamp: Alcohol Withdrawal

EMDocs

A 36-year-old male presents to the emergency department after being found down at home by his spouse. Upon EMS arrival the male is noted to be anxious and tremulous with a GCS of 14. Acad Emerg Med. This series provides evidence-based updates to previous posts so you can stay current with what you need to know.

Seizures 105
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EM@3AM: Pediatric Osteomyelitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Other children at risk for osteomyelitis include those with sickle cell disease , sepsis , an indwelling catheter , and immunodeficiency (e.g., Clinical Presentation of Acute Osteomyelitis in the Pediatric Emergency Department. Pediatr Emerg Care.

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Emergency Department Evaluation of Cholestatic Labs

EMDocs

Authors: Amelia Campbell, MD (EM Resident Physician, Carl R. Darnall Army Medical Center) and Alec Pawlukiewicz, MD (EM Attending Physician, Carl R. Case: A 45-year-old woman presents to the emergency department (ED) with itching to bilateral palms. How does cholestasis present? Mayo Clin Proc. 2020;95(10):2263-2279.

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EM@3AM: Brainstem Strokes

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 74-year-old female with a past medical history of hypertension, diabetes, recent basilar artery stent placement with a 20 pack-year smoking history presents to the ED via EMS for altered mental status and episodes of apnea. Ann Emerg Med. Erratum in: Ann Emerg Med.

Stroke 111
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EM@3AM: Suppurative Parotitis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Clin Pract Cases Emerg Med. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Afr J Paediatr Surg.

EMS 97