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Prioritization: Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Toxicity Presenting to a Community Emergency Department

Brian Milman, MD*, Marshall Howell, MD*, Joshua Ginsburg, MD* and Samuel Parnell, MD*

DOI: https://doi.org/10.21980/J8.52346 Issue 10:5[mrp_rating_result]
By the end of this case learners should: 1) Become familiar with the format of a prioritization case (a component of the ABEM Certifying Exam), 2) demonstrate their ability to prioritize multiple patients and provide stabilizing care, 3) consider changes in status/patient acuity/new cases as presented, 4) understand how to utilize team resources appropriately.
Current IssueCertifying Exam CasesNeurologyPrioritizationToxicologyTraumaUrology

Myopericarditis and Pulmonary Edema

Lubna Ahmad Saffarini, MBBS*^

DOI: https://doi.org/10.21980/J8.52187 Issue 10:4[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) Demonstrate the ability to evaluate and treat a somnolent and hypoxic patient, 2) Identify a critical airway situation and manage it with a holistic approach, 3) Interpret the history, physical examination, ECG, and chest x-ray findings and discuss the list of differential diagnoses, 4) Identify a state of cardiogenic shock induced by myopericarditis and treat it appropriately, 5) Assess the presence of pericardial effusion and cardiac tamponade utilizing bedside echocardiography.
Current IssueCardiology/VascularCertifying Exam Cases

A Recipe for Disaster – Sodium Bicarbonate Overdose

Adeola A Kosoko, MD*, Amara Ogoke, MD* and Kyle Vogt, MD^

DOI: https://doi.org/10.21980/J8MW85 Issue 10:3[mrp_rating_result]
At the end of this oral board session, learners will be able to: 1) obtain a history which includes medications and other supplements used by the patient, 2) interpret a prolonged QTc, 3) diagnose metabolic alkalosis due to sodium bicarbonate toxicity, and 4) manage sodium bicarbonate toxicity with fluid and electrolyte resuscitation.
Certifying Exam CasesToxicology

Posterior Reversible Encephalopathy Syndrome and Eclampsia

Kristina Jacomino, MD*, Kevin Tomecsek, MD*, Andrew Little, DO* and Mary Mclean, MD*

DOI: https://doi.org/10.21980/J8H64T Issue 10:3[mrp_rating_result]
At the end of this oral boards session, examinees will be able to: 1) demonstrate familiarity with the structured interview oral board format and case play; 2) recognize the history and exam features concerning for PRES and eclampsia; 3) order appropriate diagnostic workup for postpartum and hypertensive emergencies including eclampsia and PRES; 4) understand treatment options for the management of eclampsia (intravenous [IV] magnesium sulfate, IV antihypertensive therapy, and emergent consultation with an obstetrician [OB/GYN]); 5) understand threshold for taking control of airway in patients with eclampsia; 6) understand indications for ordering brain imaging in patients with eclampsia and altered mental status; and 7) demonstrate effective communication with treatment team/family members as well as correct disposition of the patient to a higher level of care (intensive care unit [ICU]).
Certifying Exam CasesNeurologyOb/Gyn

The Silent Saboteur: Teaching the Clinical Implications of Occult Hypoxemia & Social Determinants of Health via a Pulmonary Embolism Case

Eugene Marrone, MD*, John Cafaro, MD* and Jared Klein, DO*

DOI: https://doi.org/10.21980/J8FD14 Issue 10:2[mrp_rating_result]
By the end of this oral board case, learners will be able to: 1) obtain appropriate history of present illness (HPI) and physical exam elements for the undifferentiated chest pain patient, 2) identify elements of history and physical exam that are compatible with pulmonary embolism, 3) formulate a differential diagnosis for chest pain and perform the appropriate work-up to narrow this differential diagnosis, 4) appropriately manage pulmonary embolism, 5) review and discuss the diversity, equity and inclusion (DEI) elements of the case, and 6) review and discuss the importance of social determinants of health (SDH) in disposition decisions and patient outcomes.
Cardiology/VascularCertifying Exam CasesSocial Determinants of Health

Diabetic Ketoacidosis and Necrotizing Soft Tissue Infection

Matthew Henschel, DO* and Stephanie Songey, DO^

DOI: https://doi.org/10.21980/J89M0K Issue 10:2[mrp_rating_result]
At the end of this oral board session, examinees will: 1) Demonstrate the ability to obtain a complete medical history and physical exam. 2) Identify and appropriately treat DKA. 3) Identify, treat, and make appropriate consults for NSTI. 4) Demonstrate effective communication of the treatment plan with the patient.
Certifying Exam CasesEndocrineInfectious Disease

Alcohol Withdrawal

Patrick Meloy, MD*, Dan Rutz, MD^ and Amit Bhambri, MD†

DOI: https://doi.org/10.21980/J87S8Q Issue 10:1[mrp_rating_result]
At the end of this oral boards session, learners will: 1) demonstrate the ability to perform a detailed history and physical examination in a patient presenting with signs and symptoms of alcohol withdrawal, 2) investigate the broad differential diagnoses, including electrolyte abnormalities, trauma in the intoxicated patient, mild alcohol withdrawal, and delirium tremens, 3) list appropriate laboratory and imaging studies to include complete blood count (CBC), complete metabolic panel (CMP), magnesium level, computed tomography (CT) scan of the brain; 4) understand the management of hypoglycemia with concurrent administration of thiamine to prevent Wernicke’s encephalopathy and subsequent Korsakoff syndrome, 5) appropriately treat acute alcohol withdrawal with intravenous (IV) hydration and benzodiazepines, phenobarbital, or alternative medications, and 6) understanding the need for the complex management of these patients, appropriately disposition the patient to the intensive care unit after consulting with critical care specialists.
Certifying Exam CasesPharmacologyToxicology

Acetaminophen Toxicity

Rachel Whittaker, MD* and Navneet Cheema, MD*

DOI: https://doi.org/10.21980/J8435R Issue 10:1[mrp_rating_result]
At the end of this practice oral board session, examinees will be able to: 1) demonstrate an ability to obtain a complete medical history in an oral boards structured interview format, 2) review appropriate laboratory tests and imaging to evaluate abdominal pain, 3) investigate a broad differential diagnosis for right upper quadrant abdominal pain, 4) recognize chronic acetaminophen toxicity, 5) initiate the appropriate treatment for chronic acetaminophen toxicity, 6) demonstrate effective communication with the patient, consultants, and the admitting team.
Toxicology