Sep 29, 2025
Contributor: Alec Coston, MD
Case Report Summary:
A 17-year-old female involved in a motor vehicle collision presented to a rural emergency facility via personally operated vehicle. During workup and initial CT scan, the patient began rapidly decompensating with CT revealing a 1.5cm epidural hematoma with 7mm of midline...
Sep 22, 2025
Contributor: Aaron Lessen, MD
Educational Pearls:
What is a Nursemaid's Elbow?
- A condition in which an elbow gets partially pulled out of place (a radial head subluxation)
- Usually happens in kids under 5 because the ligaments around their elbow are still loose.
- A common situation is when an adult pulls a child up by...
Sep 15, 2025
Contributor: Ricky Dhaliwal, MD
Educational Pearls:
- Angioedema in anaphylaxis
- Histamine and mast cell-mediated pathway
- Treatment:
- First line: epinephrine for vasoconstriction and bronchodilation
- Second line: H1 and H2 antihistamines such as Benadryl and famotidine
- ACE inhibitor-induced angioedema
- Different...
Sep 9, 2025
Contributors: Travis Barlock MD, Jeffrey Olson MS4
Feel free to use the cases below for your own practice. All of the scenarios are completely made up and designed to hit several teaching points.
Case 1
25 M, presents to the ED with chest pain.
Stabbing, started a few hours ago, substernal. Thinks it is GERD.
After 2-3...
Sep 8, 2025
Contributor: Travis Barlock MD
Educational Pearls:
- Meningitis retention syndrome is a relatively novel and rare
clinical condition
- Aseptic meningitis + acute urinary retention
- One study reports an incidence of about 8% in patients with acute aseptic meningitis
- Clinical presentation
- Typical meningeal symptoms...