Brady Pregerson, MD

Dr Pregerson's podcast EM Logic focuses on pitfalls in emergency medicine such as confusing a cause with a coincidence, being falsely reassured by false negative tests, or getting burned by illogical assumptions.

We hope to improve the care you provide your patients and keep you from being an honored guest at your department’s next peer review meeting.

The podcast can be heard by clicking here or searching “EM Logic” on Apple podcast or “Pregerson” on Spotify.

Dr Pregerson has been practicing emergency medicine since 2000, lecturing and writing about medical topics since 2004, and has reviewed more than 180 malpractice cases since 2008. He is the author of 3 EM pocket references, the creator of EMresource.org and EM1minuteconsult.com, and the author of the EMN column BradyCardia

If you would like to be considered as a guest on a future episode, contact Dr. Pregerson at Safetydoc@gmail.com.

Articles

Elderly Woman With Simultaneous Deep Venous and Arterial Thrombosis

January 08, 2013

This patient had unilateral petechiae on the dorsum of the left foot. If the petechiae were symmetric, the first condition on the differential diagnosis would be thrombocytopenia. Here, though, the platelet count was normal. The patient also had a duplex of both the arterial and venous systems that showed complete thrombosis of both the arterial AND venous systems.

Pressure Sore on an Elderly Patient’s Heel

January 08, 2013

The patient has a stage 1 decubitus ulcer on her left heel. Both feet are cool but are the same temperature. Distal pulses are palpable but weak on the good foot; they are not palpable on the left and can only be heard faintly with a handheld Doppler. You note unilateral petechiae on the dorsum of the left foot.

Myasthenia Gravis In Elderly Man With Slurred Speech

November 08, 2012

The patient had been having slurred speech and trouble swallowing and chewing. He had been using his hand to hold his jaw closed and to push his jaw up to help him chew.

Slurred Speech and Difficulty in Chewing and Swallowing: Your Dx?

November 08, 2012

The patient, a 70-year-old man, has been having difficulty chewing and swallowing has been using his hand to hold his jaw closed while he eats; otherwise, his jaw hangs open. His speech is slightly slurred.

Iritis Caused by Neurosyphilis

September 19, 2012

Most cases of “pink eye” are caused by infectious, or occasionally allergic, conjunctivitis. Occasionally, however, a rare and more serious condition-such as a corneal ulcer or iritis-may masquerade as conjunctivitis, as in this patient.

What Cause of "Pink Eye"?

September 18, 2012

Look closely at this image. Does this look like conjunctivitis. . . or something else?

Generalized Weakness After Heavy Drinking: Hypokalemia? Ischemia?

July 19, 2012

The key diagnostic considerations hypokalemia, periodic paralysis, and ischemia should lead the assessment of a patient with acute generalized weakness.

Vertigo After a Car Accident: Vertebral Artery Dissection?

June 22, 2012

Vertebral artery dissection may be misdiagnosed as post-concussive syndrome, stroke, or TIA, based on neurologic symptoms. Always consider after neck trauma.

Chronic Shoulder Pain and Fingernail Clubbing in a Middle-Aged Man

April 07, 2012

What is causing this clubbing of the fingernails, and what is it called?

Young Woman With Meningeal Signs

March 07, 2012

A woman in her 20’s presents for care after 9 days of sore throat and subjective fevers followed by neck stiffness that developed over the last 2 to 3 days. The pain is exacerbated by swallowing and any neck motion. She has had sore throats before, but never this bad or this long and never that made her neck stiff.