Posts by JETem

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Gastric Bezoar

Samer Assaf MD*

DOI: https://doi.org/10.21980/J85K5WIssue 2:1[mrp_rating_result]
In the abdominal radiograph, a nonspecific and non-obstructive bowel gas pattern with no air-fluid level was noted, however the stomach was distended with soft tissue. The CT abdomen/pelvis revealed a distended stomach with undigested heterogeneous contents (presumed bezoar).
Abdominal/GastroenterologyVisual EM
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Monteggia Fracture in an Assault Patient

John Jiao, MHS* and Shannon Toohey, MD, MAEd*

DOI: https://doi.org/10.21980/J81S3ZIssue 2:1[mrp_rating_result]
On the axial elbow x-ray, the radial head (red arrow) is dislocated anteriorly from the humerus; the humeroulnar articulation is intact. On the AP forearm x-ray, there is a closed, displaced, comminuted fracture of the ulna (blue arrow).
OrthopedicsVisual EM
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Cholelithiasis: WES Sign

Hamid Ehsani-Nia, MS* and Shannon Toohey, MD, MAEd^

DOI: https://doi.org/10.21980/J8X300Issue 2:1[mrp_rating_result]
Abdominal ultrasound showed the classic presentation of the Wall-Echo-Shadow (WES) sign. The superficial aspect of the gallbladder wall is represented by a hyperechogenic curve. Below this, bile fluid is represented by hypoechogenicity. Underneath the bile fluid is the echo of the dense border created by the collection of gallstones, represented by a hyperechogenic curve. Due to the high density of the gallstones, nothing deeper can be visualized (including other gallstones or the far end of the gallbladder); this is the shadow.
Abdominal/GastroenterologyUltrasoundVisual EM

A Formalized Three-Year Emergency Medicine Residency Ultrasound Education Curriculum

Andrew King, MD*, Alyssa Tyransky*, Alexa Coffman*, Sarah Greenberger, MD*, Ashish Panchal, MD, PhD, RDMS*, David P. Bahner, MD, RDMS*, Sorabh Khandelwal, MD* and Creagh Boulger, MD, RDMS*

DOI: https://doi.org/10.21980/J8RG6HIssue 1:2[mrp_rating_result]
Learners will 1) know the indications for each the 11 ACEP point-of-care ultrasound (POCUS) applications; 2) perform each of the 11 ACEP POCUS applications; 3) integrate POCUS into medical decision-making.
UltrasoundCurricula

Neutropenic Fever

Shannon Toohey, MD, MA*

DOI: https://doi.org/10.21980/J8KW2KIssue 1:2[mrp_rating_result]
Neutropenia is a common oncologic emergency, and it frequently develops as a result of myelosuppression from chemotherapy. Neutropenia is defined as absolute neutrophil count (ANC) <1000/mm3, with severe neutropenia being defined as ANC<500/mm3. Patients with fever and neutropenia should be presumed to have infectious etiology and started on antibiotics immediately. The 48-hour mortality associated with an untreated infection is 20%-50%.
Infectious DiseaseCertifying Exam Cases

The Acute Red Eye

Megan Boysen Osborn, MD, MHPE*, Christopher Gilani*, Allen Yangŧ and Marc Yonkers, MDŦ

DOI: https://doi.org/10.21980/J8BC74Issue 1:2[mrp_rating_result]
By the end of this educational session, the learner will: 1) list 10 major causes for an acute red eye; 2) describe historical features that help distinguish between benign and serious causes of the acute red eye; 3) describe physical examination features that help distinguish between benign and serious causes of the acute red eye; and 4) use historical and physical examination features to distinguish between the 10 different causes of the acute red eye.
OphthalmologyTeam Based Learning (TBL)

Transfusion Related Emergencies

Megan Boysen Osborn, MD, MHPE* and Min-Ha Tran, DOŦ

DOI: https://doi.org/10.21980/J86P4VIssue 1:2[mrp_rating_result]
At the end of this didactic session, the learner will be able to: 1) list the various transfusion reactions and their approximate incidence; 2) understand the pathophysiology behind each transfusion reaction; 3) describe the management for each type of transfusion reaction; and 4) discuss the plan for prevention of future transfusion reactions.
Hematology/OncologyTeam Based Learning (TBL)

Emergencies in Hemophiliacs

Alisa Wray, MD*

DOI: https://doi.org/10.21980/J8301WIssue 1:2[mrp_rating_result]
By the end of this session learners will be able to: 1) describe the underlying deficiencies of hemophilia A and B; 2) discuss the complications of hemophilia; 3) formulate an appropriate treatment plan for an acutely bleeding hemophiliac; 4) calculate the appropriate factor dosing for a hemophiliac with acute bleeding.
Hematology/OncologyTeam Based Learning (TBL)