Posts by JETem

Headache Over Heels: CT Negative Subarachnoid Hemorrhage

Sarah Hogan, MD*, Sara Dimeo, MD, MEHP^ and Caroline Astemborski, MD, MEHP* 

DOI: https://doi.org/10.21980/J8ND2C Issue 8:3[mrp_rating_result]
By the end of this case, the participant will be able to: 1) construct a broad differential diagnosis for a patient presenting with syncope, 2) name the history and physical exam findings consistent with SAH, 3) identify SAH on computer tomography (CT) imaging, 4) identify the need for lumbar puncture (LP) to diagnose SAH when CT head is non-diagnostic > 6 hours after symptom onset, 5) correctly interpret cerebral fluid studies (CSF) to aid in the diagnosis of SAH, and 6) specify blood pressure goals in SAH and suggest appropriate medication management.
NeurologySimulation

A Homemade, Cost-Effective, Realistic Pelvic Exam Model

Jessie Godsey, MD*, Ilya Kott, MD*, Adrienne Payden* and Patricia Ward*

DOI: https://doi.org/10.21980/J8HM0F Issue 8:3[mrp_rating_result]
After utilizing this pelvic examination model, the learner will be able to: 1) demonstrate ability to perform a pelvic examination comfortably and safely, 2) demonstrate ability to obtain a cervical swab on female patients, and 3) show proficient understanding of female anatomy.
ProceduresInnovationsOb/Gyn

Acute Pulmonary Edema and NSTEMI

Ashley Pilgrim, MD*

DOI: https://doi.org/10.21980/J8CW67 Issue 8:3[mrp_rating_result]
At the end of this practice oral boards case, the learner will: 1) recognize unstable vital signs (VS) and intervene to stabilize ventilation and oxygenation, 2) demonstrate the ability to obtain a complete medical history including the important characteristics of chest pain, 3) demonstrate an appropriate exam on a patient, 4) order the appropriate evaluation studies for a patient with complaints of dyspnea, 5) interpret the results of diagnostic evaluation and diagnose Non- ST elevation myocardial infarction (NSTEMI) and pulmonary edema, 6) order appropriate management of pulmonary edema and NSTEMI, and 6) demonstrate effective communication with patient and family members.
Cardiology/VascularCertifying Exam Cases

Infant Botulism

Ashley Garispe, DO* and Steven Cherry, MD^

DOI: https://doi.org/10.21980/J88350 Issue 8:3[mrp_rating_result]
At the end of this oral board session, examinees will: 1) demonstrate an ability to obtain a complete pediatric medical history, 2) perform an appropriate physical exam on a pediatric patient, 3) investigate a broad differential diagnosis for neuromuscular weakness in a pediatric patient, 4) recognize the classic presentation of infant botulism and implement treatment with botulinum specific antitoxin before confirmatory testing, 5) recognize impending airway failure and intubate the pediatric patient with appropriately dosed medications and ET tube size, and 6) demonstrate effective communication with healthcare team members and parents. 
ToxicologyCertifying Exam Cases
R Retroperitoneal Hematoma US 1 Unannotated. JETem 2023

Trauma by Couch: A Case Report of a Massive Traumatic Retroperitoneal Hematoma

Cassandra Smith, BSN *, Graham Stephenson, MD*, Alisa Wray, MD, MAEd* and Matthew Hatter, BS*

DOI: https://doi.org/10.21980/J84D2QIssue 8:3[mrp_rating_result]
Upon arrival at the trauma center, a FAST revealed a large, well-circumscribed abnormality (red outline) deep to the liver (blue outline and star) and gallbladder (green outline and star). The right kidney and hepatorenal space were not clearly visualized. The remainder of the FAST showed no free fluid in the splenorenal space, pelvis, and no pericardial effusion. He had lung sliding bilaterally.
TraumaVisual EM
Mucormycosis. Photograph 2. JETem 2023

A Case Report of Invasive Mucormycosis in a COVID-19 Positive and Newly-Diagnosed Diabetic Patient

Konnor Davis, BS*, Roy Almog, MD^, Yuval Peleg, MD, MBA^ and Lindsey Spiegelman, MD, MBA^

DOI: https://doi.org/10.21980/J81M1G Issue 8:3[mrp_rating_result]
On physical exam, when the patient was asked to try and look to her right, the right eye failed to move laterally/abduct (blue arrow). Additionally, when asked to look straight ahead, the eye was slightly adducted (red arrow). There was a lack of motion of the right eye in abduction when the patient was asked to look to her right (yellow arrow).
Infectious DiseaseOphthalmologyVisual EM
Subtalar Dislocation Jetem

A Patient with Generalized Weakness – A Case Report

Darby Graham, MS*, Manparbodh Kaur, MD^, John Costumbrado, MD*^ and Sassan Ghassemzadeh, MD*^

DOI: https://doi.org/10.21980/J8593C Issue 8:3[mrp_rating_result]
The CT of the abdomen and pelvis showed evidence of a large subcapsular rim-enhancing fluid collection with multiple gas and air-fluid levels along the right kidney measuring 8 x 4 cm axially and 11 cm craniocaudally (blue outline) with mass effect on the right renal parenchyma (yellow outline). Another suspected fluid collection adjacent to the upper pole of the right kidney measuring 4 x 3.4 cm was noted (red outline). Bilateral pyelonephritis was suggested without hydronephrosis or nephrolithiasis. The findings suggested complicated pyelonephritis with emphysematous abscess and hematoma formation.
Renal/ElectrolytesInfectious DiseaseVisual EM

How to Build a Low-Cost Video-Assisted Laryngoscopy Suite for Airway Management Training

Erin Falk, MD* and Adam Blumenberg, MD, MA*^

DOI: https://doi.org/10.21980/J8C068 Issue 8:2[mrp_rating_result]
Using an anatomically accurate airway simulator, by the end of a 20–30-minute instructional session, learners should be able to: 1) Understand proper positioning and use the video laryngoscope with dexterity, 2) identify airway landmarks via the video screen, and 3) demonstrate ability to intubate a simulated airway.
InnovationsProceduresRespiratory