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Recent Posts

October 7, 2017

High Yield Review - Nocturnal Asthma

Case: A 40 y/o female with past medical history of

asthma, she has a complaint of excessive day time sleepiness.

She says she has not been sleeping well, she 

says she has trouble going to sleep and staying asleep.

She says once a week s...

October 6, 2017

High Yield Review - Methanol Toxicity 

Case: A 43 y/o male from the Ozarks who is acting "weird" as describe by his brother, the patient has abdominal pain, nausea and vomiting and says the light hurts his eyes, now all he has been saying since arriving in the ED is " g...

October 3, 2017

High Yield Review - Giant Cell ( Temporal ) Arteritis: 

Case: A 50 year old woman, who started to have a Right sided head ache for the last few days.  She has never had head aches prior. She points to to where her head ache is and shows you where it is tender ( see belo...

September 30, 2017

High Yield Review - Syncope + Trigger + Prodrome 

Case: A 21 y/o female accompanied by her boyfriend and mother. Today while she was standing in line for the newest smart phone, she started to feel a warm sensation and abdominal pain, she then passes out, her boyfr...

September 26, 2017

High Yield Review - Syncope after Meals 

 Case: A 75 y/o female with a past medical history of diet controlled hypertension, comes in today to have her morning labs  collected and who has a complaint about several fainting episodes over the past few weeks. 


September 25, 2017

High Yield Review - Brain Death and the Apnea Test 

Case: A 60 year old male admitted to the ICU for

left sided intracerebral hemorrhage, you observe that there are  no spontaneous breaths  and you suspect brain death. 

You assess for clinical criteria:

- He has no spontan...

September 23, 2017

High Yield Review - Esophageal Variceal Hemorrhage 

Case: A 52 y/o male who was just  admitted to medical floor for new onset abdominal ascites and in acute alcohol withdrawal.  You get called by the patients nurse explaining that the patient had bloody emesis, and...

September 22, 2017

High Yield Review - Aplastic Crisis 

Case: A 23 y/o African American female with a 

medical history of sickle cell anemia, comes to 

the emergency department for evaluation of

shortness of breath, fatigue, and 

light headedness. She also c/o joint pains in her hands and ank...

September 22, 2017

High Yield Review: Hypertriglyceridemia 

Case: A 40 y/o male from Springfield Illinois with no known medical history. He comes to the clinic for follow up on his cholesterol check. On exam he is obese with central obesity, he

admits to drinking a 6 pack of Duff Beer dail...

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