Emergency Medicine
- Pyoderma gangrenosum mistaken for diabetic ulcer
A man with type 2 diabetes, hypertension, anemia, and ulcerative colitis presented with an ulcer on his leg.
- Rapidly progressive pleural effusion January 2019
Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).
- Gastroparesis in a patient with diabetic ketoacidosis
Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.
- How should I treat acute agitation in pregnancy?
This is an obstetric emergency. Intervention should progress in a stepwise manner.
- Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
SCAD accounts for up to 35% of acute myocardial infarctions in women 50 or younger, and even more in pregnant women.
- Flu or strep? Rapid tests can mislead
Group A streptococci are common colonizers with viral pharyngitis.
- Norwegian scabies
Norwegian scabies is extremely contagious, and outbreaks can spread in institutions.
- Does early repolarization on ECG increase the risk of cardiac death in healthy people?
No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.
- Heart failure guidelines: What you need to know about the 2017 focused update
Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.