Ultrasound of the Month: Ocular Abscess
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Dr. Diaz McDermott walks us through a a case of an unusual complication of orbital cellulitis and how POCUS can expedite diagnosis and management!
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Grand Rounds Recap 03.13.24
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Another great week of Grand Rounds! We started with optimizing our wet reads on MSK xrays then moved into a victorious CPC win in the diagnosis of giant cell artertitis with a patient presenting with CN VI palsy and diplopia. We then discussed the tips and tricks for hernia reduction before hearing a moving story of a harrowing AirCare transport for ECMO cannulation. We moved into R3 small groups covering obstetrics and labor from mother to newborn and finished off with our pediatrics team visiting to discuss emergent cardiac conditions.
Read MoreMastering Minor Care: Orbital Infections
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Join us for quick hits into the orbital infections to be aware of in the emergency department ranging from relatively benign to potentially eye-threatening. Learn the difference to help make the catch and save your patient’s vision!
Read MoreMastering Minor Care: Slit Lamp Exam
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Don’t fear the slit lamp! Dr. Gobble breaks down this piece of equipment to make using it approachable and get you excited about performing eye exams.
Read MoreDiagnostics: Ocular Ultrasound
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Ocular Ultrasound is an increasing presence in the portfolio of specific tests within the Emergency Physicians’s toolbox of early recognition of pathology. Dr. Logan Ramsey takes a dives into the indications and evidence of ocular ultrasound
Read MoreUltrasound of the Month - Retinal detachment
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Ocular ultrasound can be an invaluable tool in the patient presenting with acute vision loss. Dr. Koehler details the diagnostic utility of ocular sonography in this month’s case of unilateral atraumatic vision loss in the ED.
Read MoreConjunctivitis
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It's been a busy night in the SRU. You've already sent two traumas to the OR, given tPA to an acute stroke, and sent a post-arrest patient up to the MICU. As you walk back to your computer to finally take a sip of now cold coffee, you notice there's a new patient in A2. The chief complaint, conjunctivitis. You sigh as you try to recall the differential for the red eye. You think to yourself, I wish they actually covered eyes in medical school. Read on to learn how to care majorly about a “minor” complaint. And no, all is not solved by some antibiotic drops.
Read MoreGrand Rounds Summary 9.20.17
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This week's grand rounds started off with our EMS team represented by Dr. McMullan updating us on new EMS stroke protocols, an upcoming trial for pre-hospital ketamine use, as well as a refresher on notification calls. This was followed by Dr. Shaw, who made his grand rounds lecture debut discussing the diagnostic and clinical utility of lactate. Drs. Harty and Toth then went mano-a-mano in another installment of the CPC lecture series, during which they discuss the presentation, workup and management of carotid cavernous fistula. Dr. Gorder then presented her clinical soap box, using the example of NG tube placement for SBO as a platform for addressing the impact of dogma within medicine. Our peds EM colleagues then steered the ship for the final 2 hours, discussing 2 oral boards cases (fussiness in a newborn and HSP) as well as putting on a pediatric trauma simulation.
Read MoreGrand Rounds Recap - 4/15/15
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Ocular Emergencies with Dr. Titone
Blood supply to the eye is from the Internal Carotid and drainage is through cavernous sinus. Bony eye septum is an improtant structure that separates the superficial structures from the deeper structures that have direct communications with the brain.
Key historical factors: recent eye procedures, eye drop use, contact lens use, occupational history, UV ligh exposure
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