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Category Archives: Uncategorized
Pneumothorax, Questions
1. What is your first line imaging test to diagnose pneumothorax (PTX)? When do you get a CT? 2. How do you manage traumatic pneumothoraces found incidentally on CT (i.e., not clinically apparent, not on CXR)? What if the patient … Continue reading
Pulmonary Embolism, “Answers”
1. What decision rules do you use to determine if a patient is low or very low risk for PE? The most commonly used decision instruments for risk stratification are the Wells’ score, Geneva score, and PERC rule. Additional tools … Continue reading
Pulmonary Embolism, Questions
1. Which decision rule(s) do you use to determine if a patient is low or very low risk for PE? 2. Are there any situations in which you modify the d-dimer threshold for ruling out PE? If so, when? 3. … Continue reading
Burns, “Answers”
The traditional classification of burns as first, second or third degree is being replaced by the designations of superficial, superficial partial thickness, deep partial thickness, and full thickness. Burn depth has an impact on healing time, the need for hospitalization, … Continue reading
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Burns, Questions
1. When (if ever) do you open blisters in acute burns? 2. When do you transfer patients directly to a burn center versus outpatient follow up? How do you arrange that follow up and for when? 3. What topical medications … Continue reading
Imaging in Blunt Trauma, “Answers”
1. How do you decide which patients with abdominal trauma need a CT? Setting aside those patients with obvious abdominal injuries, for whom most every Emergency Physician would order an abdominal CT (or send directly to the OR with trauma … Continue reading
Imaging in Blunt Trauma, Questions
1. How do you decide which patients with abdominal trauma need a CT? 2. Do you order chest CTs on stable patients with focal chest wall tenderness and a normal AP chest X-ray? 3. Do you pan scan in stable … Continue reading
Vertigo, “Answers”
What elements of history do you find most reliable in differentiating central from peripheral vertigo? Dizziness is the cause of over 10 million ambulatory care visits per year, 25% of which are seen in emergency departments around the US (Newmann-Toker, … Continue reading
Vertigo, Questions
1. What elements of history do you find most reliable in differentiating central from peripheral vertigo? 2. What elements of physical exam do you find … Continue reading
Cocaine Chest Pain, “Answers”
1. What is the relationship between cocaine and Acute Coronary Syndrome/MI? Cocaine is the second most commonly abused drug in the United States, accounting for the most drug-related visits to the Emergency Department (Finkel, 2011). Chest pain is the most … Continue reading
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