• syncope painting

Syncope as Easy as 1-2-3

By |Categories: Cardiovascular|

A 66-year-old otherwise healthy man presents by Emergency Medical Services (EMS) after being found unconscious on the ground. On arrival to your emergency department, he is back to his baseline normal mental status and without complaints. His vital signs are within normal limits and his physical exam is unremarkable. Is it a syncope? What are the key features of his history and physical exam that should affect your medical decision making? What should this patient’s work-up entail? [+]

  • Peritonsillar abscess ultrasound

Ultrasound for the Win! 3-year-old with abdominal pain #US4TW

By |Categories: Pediatrics, Ultrasound, Ultrasound for the Win|

A 3-year-old Hispanic female with no significant past medical or surgical history presents to the Emergency Department with her mother for a 3 day history of crampy abdominal pain, intermittent bloody diarrhea and fever. There has been no recent travel, admissions, or antibiotic use. Her older sister reports similar symptoms, which have resolved. The patient saw her pediatrician the day prior, who recommended supportive care including oral rehydration. [+]

SAEM Clinical Image Series: Rash and Headache in Acute Myeloid Leukemia

By |Categories: Dermatology, Infectious Disease, SAEM Clinical Images|

A 25 year old male with a history of acute myeloid leukemia (AML) after an allogeneic stem cell transplant, which has been in remission for 6 years. He presents with a headache and rash. 4 days ago the patient noticed a rash on the abdomen that was itchy, but not painful. Today, he noticed a similar rash on his face. The headache started yesterday, waking him up from sleep. It is now slowly getting worse. He endorses chills, nausea, neck stiffness, neck pain, myalgias, and photophobia. He denies fevers, vomiting and phonophobia. He does have [+]

SAEM Clinical Image Series: Bellybutton Mass

By |Categories: Gastrointestinal, Pediatrics, SAEM Clinical Images|

A 4 week-old female infant presents due to yellow discharge from her umbilicus and mom noticing a red mass coming from the umbilical area after changing her diaper today. She is a healthy infant born at 40 weeks by vaginal delivery without complications and weighed 6 lbs 1 oz at birth. She is feeding 4 oz of formula every 3-4 hours. She received immunizations at birth and has an established pediatrician. [+]

  • Hook of Hamate Fracture on Carpal Tunnel view

SplintER Series: Pain in the Palm

By |Categories: Expert Peer Reviewed (Clinical), Orthopedic|

A 17 year-old left hand dominant high school baseball player presents with severe, sharp pain in his right hand at the hypothenar eminence with associated numbness and tingling of his 4th and 5th digits. The pain and tingling began after he swung his bat and hit a ground ball. You obtain x-rays and see an abnormality. What is the most likely diagnosis, differential diagnosis, and management plan? [+]

Just-in-Time Training for Emergency Medicine Radial Arterial Line Placement

By |Categories: Academic, Critical Care/ Resus, Medical Education|

A 63-year-old male presents for acute onset of headache, neck pain, and altered mental status. He has a prior history of hypertension and hyperlipidemia but recently lost his insurance and has been unable to fill his medications. As a well-informed 2nd year resident, you suspect the presence of a ruptured subarachnoid hemorrhage and arrange an expedited trip to the CT scanner. The patient’s blood pressure continues to remain elevated and you initiate an antihypertensive drip. You decide that in order to have accurate titration, you need more reliable data and decide to place a radial arterial line. However, the last [+]

ALiEM AIR | Orthopedics Lower Extremity 2019 Module

By |Categories: ALiEMU, Approved Instructional Resources (AIR series), Orthopedic|

Welcome to the AIR Orthopedics Lower Extremity Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to orthopedic lower extremity emergencies. 5 blog posts within the past 12 months (as of July 2019) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and 4 Honorable Mentions. We recommend programs give 2.5 hours (about 30 minutes per article) of III credit for this module. [+]

SAEM Clinical Image Series: Facial Burn

By |Categories: Allergy-Immunology, Dermatology, SAEM Clinical Images, Tox & Medications|

A 50-year-old female with a history of bipolar disorder, ADHD, anxiety, depression, and alcoholism presented to the ED after her family found her at home agitated, restless, and with a “large black burn” on her face. Her husband reported that she had been “picking” at this area of her face earlier in the day; at that time it appeared only slightly red. Per her husband, the patient had also felt “bugs crawling on her legs” and had been picking at and grabbing her legs on the day of presentation. [+]

SAEM Clinical Image Series: Chest Wall Mass

By |Categories: Pulmonary, SAEM Clinical Images|

A 71 year-old patient with a past medical history of hypertension, percutaneous transluminal coronary angioplasty 7 years ago, and robotic coronary artery bypass grafting of the left internal mammary artery to the left anterior descending artery 9 years ago presents with worsening dyspnea on exertion. He had a biopsy of the upper lobe of the left lung the week before. He was having a neoplastic mass evaluated. The patient presents with a soft left-sided anterior chest mass, inflating and deflating with respiration. [+]