Far too often we are faced with the situation in which we are concerned about septic arthritis in a patient’s ankle. Although tapping the ankle can be a daunting task, Dr. Leech provides us with a guide in this month’s minor care post to make difficulty with ankle arthrocentesis a problem of the past.Read More
Sexually Transmitted Illness and related complaints are seen frequently in the emergency department. Does every dysuria, discharge and exposure need treatment for STIs? Do they all need evaluation? Dr. Pulvino looks at the CDC recommendations for commonly seen STI’s and discusses common treatments and the importance of a strong history and physical.Read More
Cellulitis with or without abscess - a common problem with a stamp-like treatment of antibiotics. Should every skin and soft tissue infection (SSTI) get the same remedy? Is there a role for risk factors or ultrasound in risk stratification of additional coverage? Join Dr. Laurence for a dive into the current literature of SSTI coverage.Read More
Sore throats are commonly viral in nature and can be treated with supportive care. However, there are certain diagnosis that be considered when evaluating patients. Dr. Edmond Irankunda reviews Lemierre’s Syndrome, a sore throat with potentially dangerous systemic complications.Read More
Not every swollen leg was made equal, nor should they all be treated the same. In the second installment of our case series, join us on the discussion of a rare vascular complication of the lower extremities.Read More
Catheter associated urinary tract infection (“CAUTI”) is one of the most common nosocomial infections in hospitalized patients. The use of external urinary catheters, the male external catheter, colloquially known as the “condom catheter,” and the wicking catheter, most often used in females, may help prevent the occurrence of CAUTI. In the Emergency Department, we are poised in a position where what we do (or don't do, such as insert a foley) has the potential to reduce iatrogenic harm throughout the hospital.Read More
Not all fingertip injuries are created equal. From a box cutter slice to a crush injury, your time and investment into these patients’ injuries varies quite significantly and we need to be ready to be expert at all options. Dr. Li guides us in a quick run down of the injury and repair types of fingertip injuries in this month’s Mastering Minor Care.Read More
In the month’s Minor Care Series, we will shift focus to a dive into orthopedic complaints, starting first with finger tendon injuries. We frequently see patients that come in with a finger that can’t flex or can’t extend; what should we do for these patients? Read on to find out!Read More
In this month’s Minor Care Series we discuss some common eyelid disorders. We will also review some tear duct anatomy and answer the time-old question “What’s the difference between a hordeolum and a chalazion?” Read on, future masters of the eyelid…Read More
Lacerations. We close these all the time, right? But what if it is on the eyelid? Do we close these and what should we be looking for? Read on, as Dr. Li walks us through the evaluation and management of these (sometimes) complicated patients.Read More
Hemolytic Disease of the Fetus and Newborn (HDFN) is an alloimmune disease which develops in a fetus when a women’s immune system is sensitized, developing antibodies which cross the placenta and attack fetal RBCs.
While there is a spectrum of the disease, in severe cases the fetus can ultimately develop hydrops fetalis which is often fatal.
As Emergency Physician’s we are classically taught that we can help to prevent HDFN by recognizing sensitizing events in Rh-negative women and subsequently providing RhoGAM. But which patients really need RhoGAM? The evidence seems to be lacking and recommendations are often inconsistent.Read More
Not every swollen knee is an emergency, but treatments can vary between NSAIDs and an operative wash-out. Drs LaFollette and Stolz walk through the use of bedside ultrasound to focus our ED care.Read More
Our Minor Care Series continues with another case of the red eye! This time we discuss uveitis. But what exactly is the uvea? Is uveitis the same as iritis? And what do these patients need in the ED? Read on to answer these questions and more!Read More