Category Archives: Uncategorized

Cocaine Chest Pain, Questions

 (1) What is the relationship between cocaine and acute coronary syndrome/myocardial infarction? (2) How do you risk stratify a patient who presents with cocaine chest pain? If low risk, how does your disposition differ from that of your standard chest … Continue reading

Posted in Uncategorized | Leave a comment

Ovarian Torsion, “Answers”

1. What signs or symptoms make the diagnosis of ovarian torsion more likely?  What factors in the patient’s history make you more suspicious for torsion? How useful is the bi-manual exam? Ovarian torsion is defined as a partial or complete … Continue reading

Posted in Uncategorized | Tagged , | 3 Comments

Ovarian Torsion, Questions

1. What signs or symptoms make the diagnosis of ovarian torsion more likely?  What factors in the patient’s history should make you more suspicious for torsion? How useful is the bi-manual exam?                 … Continue reading

Posted in Uncategorized | Tagged , | 2 Comments

Nephrolithiasis, “Answers”

1. What is your preferred pain regimen in acute renal colic?  What do you like to give for home pain control? Many consider NSAIDs to be first-line for renal colic pain, as they directly affect the ureter, inhibiting the synthesis … Continue reading

Posted in Uncategorized | Tagged , , | 6 Comments

Nephrolithiasis, Questions

1. What is your preferred pain regimen in acute renal colic?  What do you like to give for home pain control? 2. When do you use ED ultrasound?  If it shows hydronephrosis, how does this affect your management? 3. Do … Continue reading

Posted in Uncategorized | Tagged , , , , | 5 Comments

Hyperkalemia, “Answers”

1)    What are the EKG manifestations associated with hyperkalemia?  Do these changes occur in a predictable order? Hyperkalemia is one of the most lethal and treatable metabolic disturbances faced by emergency physicians.  Therefore, its rapid recognition and treatment is paramount … Continue reading

Posted in Uncategorized | Tagged , , | 3 Comments

Hyperkalemia, Questions

1.    What are the EKG manifestations associated with hyperkalemia?  Do these changes occur in a particular order? 2.    What is the role of Kayexalate in the treatment of hyperkalemia? 3.    Is there a threshold serum potassium level … Continue reading

Posted in Uncategorized | Tagged , , | 2 Comments

Viral Meningitis, “Answers”

1.  Are there any elements on history & physical that make you suspect viral meningitis in adult patients? Do you LP all patients you suspect have viral meningitis? Clinicians have long tried to identify elements of a patient’s history or … Continue reading

Posted in Uncategorized | Tagged , | Leave a comment

Viral Meningitis, Questions

1.)  Are there any elements on H&P that make you suspect viral meningitis in adult patients? Do you LP all patients you suspect have viral meningitis? 2.)  Does a “normal” CSF reassure you that the patient does not have bacterial … Continue reading

Posted in Uncategorized | Tagged , | 1 Comment

Anaphylaxis, “Answers”

1. How do you define anaphylaxis?  When and how do you give a patient with anaphylaxis epinephrine? How does age or past medical history factor in your decision? Anaphylaxis is an allergic reaction, with rapid onset after contact with the … Continue reading

Posted in Uncategorized | Tagged , , | 2 Comments