A woman in her mid 30’s presents with lower adbominal pain for 2 days accompanied by light bleeding. She has no other associated symptoms and cannot remember her LMP. Her pregnancy test comes back positive. Her transvaginal ultrasound is shown below.
Is this a normal pregnancy? What is the most likely diagnosis? What are the pitfalls […]

You are working in a double-covered ED when your colleague asks you for a second opinion on a rash.  The patient is a 43 year old businessman who complains of fever, rash, headaches and body aches, all of which come and go, and have been present for the past 3 days.  The rash, […]

 
HAPPY HOLIDAYS.  This holiday season, give the gift of safety.  Meant for the lay public,  Don’t Try This At Home and Think Twice: More Lessons From the ER are entertaining, hilarious and full of sage advice on how to avoid ending up as a patient in the ED.  Your family and friends will love them.   For even more safety […]

Parents come to the ER with their fully vaccinated 8 month old who has had fever and rash for 4 days.  They saw the pediatrician yesterday in the office.  He told them it looked like the fever and conjunctivitis were probably from adenovirus.  Desetin was recommended for the diaper rash.  Today they say he is more […]

 
Sorry, something non-mysterious again this month.  If you want a mystery though, case 25 is up, but you’ll have to wait till December for the answer.
We all learned how to do a physical exam in med school, PA school, nursing school, etc., but most of us have learned our own little “tricks” along the way that […]

If anyone is interested in some end-of-year CME in Los Angeles please check out the Cedars-Sinai 5th Annual Emergency Medicine Symposium December 7th.  There are some excellent physicians lecturing.  Don’t worry, you won’t have to listen to any of my hot air.
For more information please contact Barbara Stokes: stokes@cshs.org or (310)423-2935