January 23, 2014
Headaches have been awakening a man in his mid-40s at about 3 in the morning for a period of 2 weeks. On this, his second visit to the ED for the symptom, he claims numbness in one arm and reports vomiting earlier that evening. More details of the case, here.
January 22, 2014
January 03, 2014
Recent travel to the Caribbean is the key clue that led to the diagnosis of dengue fever, which caused maculopapular rash, fever, headaches, and body aches.
January 03, 2014
November 07, 2013
Discitis, a bacterial infection within the vertebral disc, typically results from seeding during an episode of bacteremia.
November 07, 2013
A 46-year-old man with a history of HIV infection presents to the emergency department for left flank pain. A lateral x-ray film of the patient’s lumbar spine is shown. What is the diagnosis?
October 24, 2013
Attention to detail and a systematic approach combined with the knowledge and use of specific diagnostic exam tests will help minimize missing common orthopedic soft tissue injuries. Tips here.
October 23, 2013
Awareness of medical conditions and drugs that can suppress the immune system or cause other complications is key to providing safe and appropriate care for immunosuppressed patients. Details here.
October 21, 2013
Keeping your patients satisfied can help keep you sane-and possibly even happy. Here: strategies for enhancing clinician/patient communications.
October 18, 2013
Here: a fruitful approach to the evaluation of dizziness that focuses on timing, triggers, and associated symptoms, followed by a complaint-directed physical exam with special attention to specific germane aspects of the neurologic exam and (when indicated) selective testing.