Part of the power of bedside ultrasound is the ability to make a diagnosis within seconds of image acquisition. Join Dr. Golden as he takes us through a fascinating case of early pregnancy guided by POCUS in the emergency department and the unexpected finding that, while rare, can dramatically alter the patient’s ED course.Read More
In this week's Grand Rounds, Dr. McDonough spearheaded a discussion of the art of breaking bad news in the Emergency Department. Drs Dang, Renne and Teuber led us through a focused management of obstetric emergencies: placental abruption, difficult deliveries and the pregnant traumatic arrest patient.Read More
CPC with Dr. Boyer vs. Dr. Steuerwald
16yoF with 4 days of bilateral lower quadrant abdominal pain and diarrhea that was tachy, dry, and with a diffusely tender abdomen and some right-sided discomfort on pelvic exam with a mild leukocytosis.
Dr. Steuerwald's approach to listening to patient presentations: Pick out the main symptoms, get a time course, and listen for any other true "weirdness" then build your own timeline of events.
- Don't forget about the "sexy numbers" in everyone, these include the vitals and also key aspects of a disease process (i.e. the EF in a patient with CHF)
- DDx included appendicitis, PID, TOA, Fitz-Hugh Curtis, Ovarian Torsion, Yersinia enterocolitis
- Dr. Steuerwald correctly identified the need to get a RLQ US to assess for appendicitis!