Month: February 2020

Sunday Scaries

Angioedema (Sunday Scary)

Now to the Scary -- ANGIOEDEMA Background -- Angioedema is a paroxysmal, non-demarcated swelling of dermal or submucosal layers of skin / mucosa. Swelling is typically asymmetric, non-pitting and nonpruritic but can be associated with allergic features.  isolated uvular angioedema (Quincke's disease) is a rare presentationcauses: trauma, inhalation, general anesthesia, meds (ACEI), infections, hereditary Etiologies  ACE-I (bradykinin) Hereditary Autosomal DominantC1 esterase deficiency --> unregulated bradykinin associated with compli

by Angela Frisby, DO
Sunday Scaries, TJ Tidbits

Ovarian Torsion

So it’s a busy weekday at Coney Island Hospital. You get an upgrade and it’s for a 41 year old woman with severe RLQ abdominal pain. You see she’s writhing in bed, crying and guarding. Vitals are normal but she is slightly tachycardic. What do you do next?  History! History!  The patient is not fully cooperating with your questioning because of the pain but tells you it started 2 hours ago and that the pain is sharp, 10/10 constant and nonradiating. She woke up with this pain and had 2 episodes of vomiting and is still nauseous.  You press on her abdom

by Tejeshwer Jaswal, DO
Sunday Scaries

Breakfast with Boo Boos, the grand reveal!

You're working at an ED in a small hospital, (or Coney on a very very very bad day) consult services take at home call and availability is consistently twenty minutes from arrival. A 20s-40s year old woman comes in, obese body habitus, no known medical history, ill appearing, unable to give a medical history. She mouths something that you think looks like 'baby' before she becomes unresponsive.  Clock starts ticking, good thing you trained at Coney Island Hospital. (copyright) 2020 ACGME accreditation. Welcome to Breakfast with Boo Boos.... TIME ZERO. 

by Brenda Sokup, DO