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Latest Articles

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Calcium Channel Blocker Overdose

Jessica G Andrusaitis, MD, MS* and Alan Givertz, MD^

DOI: https://doi.org/10.21980/J8CQ07Issue 9:1 No ratings yet.
At the end of this oral board session, examinees will: (1) demonstrate ability to evaluate a patient with undifferentiated shock with bradycardia and discuss the differential diagnosis, (2) recognize the signs and symptoms of calcium channel blocker overdose, (3) demonstrate ability to manage treatment of a patient with calcium channel overdose.
Cardiology/VascularOral BoardsToxicology
simulation icon

An Appy That Needs Epi: An Atypical Presentation of Anaphylaxis

Ryan O’Neill, MD*, Cyrus Adeli, BA, CHSE^, and  Christopher E San Miguel, MD, MEd* 

DOI: https://doi.org/10.21980/J80H14 Issue 9:1 No ratings yet.
At the conclusion of the simulation, learners will be able to: 1) demonstrate ability to efficiently review patient records to optimize patient care and identify relevant details to current presentation, 2) rapidly assess a patient when there is a change in clinical status, 3) recognize the need to start resuscitative fluids for undifferentiated hypotension, 4) identify anaphylaxis, 5) demonstrate the medical management of anaphylaxis, 6) utilize the I-PASS framework to communicate with the inpatient team during the transition of care.
Abdominal/GastroenterologyDermatologySimulation
Internuclear Ophthalmoplegia. Eyes Right Unannotated. JETem 2024
visualem icon

The Clue is in the Eyes. A Case Report of Internuclear Ophthalmoplegia

Cooper Nickels, DO*, Christy Keyes, MD*, Caroline Astemborski, MD, MEHP* and Haley Fulton, BS^

DOI: https://doi.org/10.21980/J8DP9M Issue 9:1 No ratings yet.
There was no appreciable esotropia or exotropia noted on straight gaze (yellow arrows). On extraocular muscle examination, patient was noted to have a complete left medial rectus palsy consistent with a left internuclear ophthalmoplegia (red arrow). This was evidence by both eyes easily gazing left (green arrows); however, with rightward gaze, her left eye failed to gaze past midline (red arrow).
Visual EMNeurologyOphthalmology
Septic Arthritis of AC Joint. Shoulder Photo Far. JETem 2024
visualem icon

Septic Arthritis of the Acromioclavicular Joint: A Case Report

Serena Tally, BS*, Michael Head, MA,* and Kerri Kraft, MD*

DOI: https://doi.org/10.21980/J8VP9N Issue 9:1 No ratings yet.
Magnetic resonance imaging (MRI) with contrast was obtained of the shoulder and ankle, and results from both scans showed findings consistent with septic arthritis complicated by intraarticular abscesses. The MRI of the patient’s left acromioclavicular joint is shown as both a T1-weighted sequence in sagittal view and T2-weighted sequence in coronal view. The images show effusion (the dark fluid denoted by the red arrow) with an adjacent fluid collection (blue arrow). A T2-weighted MRI in coronal view of the patient’s right ankle showing multiple effusions (green arrows) and a fluid collection along the medial tibial cortex and subcutaneous tissues (yellow arrow).
Visual EMInfectious DiseaseOrthopedics
Colocolic Intussusception. Abdominal Ultrasound Unannotated. JETem 2024
visualem icon

Case Report of a Child with Colocolic Intussusception with a Primary Lead Point

Ethan Lee, BS*, Jeremy Lins, MD^, Chelsea Cosand, MD^, Mary Jane Piroutek, MD† and Tommy Y Kim, MD*^

DOI: https://doi.org/10.21980/J8564Q Issue 9:1 No ratings yet.
On the initial ED visit, an abdominal ultrasound (US) was ordered which showed the classic intussusception finding of a target sign (yellow arrow), or concentric rings of telescoped bowel, on the transverse view of the left lower quadrant (LLQ).
Visual EMAbdominal/GastroenterologyPediatrics
innovations icon

Low-Cost Fishhook Removal Simulation

David Mitchell Baskin, MS* and Christopher Ashby Davis, MD*

DOI: https://doi.org/10.21980/J8Q64P Issue 8:4 No ratings yet.
The goal of this small group session is to fill the gap in training on fishhook injuries. At the end of the session participants should be able to describe the parts of a fishhook, as well as demonstrate and have increased confidence in performing multiple fishhook removal techniques.
ProceduresInnovations
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