Issue 10:4

Troubleshooting the Trach: Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity

Caroline Astemborski, MD, MEHP* and Emily Grass, MD, MEHP^

DOI: https://doi.org/10.21980/J8.52033Issue 10:4[mrp_rating_result]
By the end of the session, participants will be able to: identify the major anatomy of tracheostomies and laryngectomies, 2) demonstrate step-by-step management of emergent tracheostomy airways, 3) describe common complications of tracheostomies, 4) understand the management of tracheal innominate artery complication.
ProceduresRespiratoryTeam Based Learning (TBL)

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

Trauma and Hyperthermia

William Webster, MD *, Dallas Beaird, MD^ and Linda L Herman, MD *

DOI: https://doi.org/10.21980/J8.52308 Issue 10:4[mrp_rating_result]
By the end of this oral board session, examinees will be able to:  1) construct a differential to evaluate a patient with undifferentiated altered mental status and trauma, 2) recognize the signs and symptoms of heat stroke, 3) complete an evaluation of a patient with both hyperthermia and trauma, and 4) demonstrate efficient and correct treatment of a patient with hyperthermia. 
SimulationTrauma
Nonketotic Hyperglycemia Hemichorea. MRI Unnnotated. JETem 2025

Case Report of a Patient Presenting with Nonketotic Hyperglycemia Hemichorea

Jay Patel, DO*, Kayla Pena, MD*, Joshua Bucher, MD* and Amanda Esposito, MD*

DOI: https://doi.org/10.21980/J8.52115Issue 10:4[mrp_rating_result]
Laboratory tests indicated elevated blood glucose levels (198 mg/dL) with no urinary ketones, anion gap of 12, thyroid stimulating hormone (TSH) of 12 UIU/ml, and an increased glycated hemoglobin (HbA1c) of 14.9%. After initial stroke evaluation with neurology, imaging studies, including computed tomography (CT)/CT angiography (CTA) of the brain and neck, were unremarkable, ruling out structural lesions or acute stroke. Neurology recommended an MRI which showed T1 shortening within the left basal ganglia involving both the caudate nucleus and the lentiform nucleus. T1 shortening indicates changes in the tissue composition or structure that alters how the tissue responds to the MRI pulse, giving the tissue a brighter appearance on MRI (see white arrow).
Visual EMEndocrineNeurology
Dermatologic Reaction to Wound Closure Strips and Liquid Adhesive. Photo 3 Unannotated. JETem 2025

Case Report of a Dermatologic Reaction to Wound Closure Strips and Liquid Adhesive

Amal Asghar MD*, Trevor Smith MD*, Matthew Underwood MD* and Tommy Y Kim MD*

DOI: https://doi.org/10.21980/J8.52256 Issue 10:4[mrp_rating_result]
The patient removed the splint, and the wound were notable for erythematous bullae (blue arrow), blisters (yellow arrow), and skin maceration (red arrow) in the distribution under the wound closure strips. Of note, there was no surrounding erythema with poorly defined borders.
Visual EMDermatology