Emergency Medicine
- Tickborne diseases other than Lyme in the United States
Consider them in patients with known or potential tick exposure and fever or vague constitutional symptoms.
- Understanding the bell-ringing of concussion
Back in the day, if we could count the coach’s fingers, we could go back into the game. Now we are more attuned to injury.
- Pseudo-Wellens syndrome after heavy marijuana use
Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.
Concussion: Evaluation and managementInitial therapy involves several days of cognitive and physical rest, then a gradual return to activities.
- Watson, the game is a foot… or a palm
Sherlock Holmes I am not, but some useful clues are readily apparent if one is prepared to recognize them.
- Heartburn or heart attack? A mimic of MI
The diagnosis: milk-alkali syndrome, complicated by thiazide use.
- Another complication of cirrhosis
A patient with cirrhosis presents with acute abdominal pain and shock.
- Evidence helps, but some decisions remain within the art of medicine
In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.
