ERPocketbooks http://www.erpocketbooks.com Stuff You Need, In Your Pocket Fri, 03 Jul 2009 23:17:20 +0000 http://wordpress.org/?v=2.1.3 en JULY MYSTERY http://www.erpocketbooks.com/2009/07/03/july-mystery/ http://www.erpocketbooks.com/2009/07/03/july-mystery/#comments Fri, 03 Jul 2009 23:15:43 +0000 ER Pocketbooks http://www.erpocketbooks.com/2009/07/03/july-mystery/ 43: Headache

A 31 year old male presents to the ED with a headache.  He states he rarely gets headaches, but has been having on and off headaches all week.  Tonight, after sexual intercourse, he developed a sudden headache, which is still present.  He denies fever, but has vomited twice.

On exam his vital signs are normal.  You think his neck may be a little stiff, but he can bend his chin to his chest.  The rest of his exam, including a full neurological exam is normal.

CBC and metabolic panel are normal.  The CT scan is read by the radiologist as normal (Image below) so you recommend an LP, but the patient refuses despite all the terrible things you tell him may happen to him.  He says he has been using his iPhone to research headaches and thinks he has a “Post-coital headache”, which he read is not dangerous.

What should you do next?  Is there anyone you should call to help you?

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CLICK HERE FOR ANSWER

]]> http://www.erpocketbooks.com/2009/07/03/july-mystery/feed/ JUNE MYSTERY: DYSPNEA http://www.erpocketbooks.com/2009/05/07/june-mystery-dyspnea/ http://www.erpocketbooks.com/2009/05/07/june-mystery-dyspnea/#comments Thu, 07 May 2009 13:58:30 +0000 ER Pocketbooks http://www.erpocketbooks.com/2009/05/07/june-mystery-dyspnea/ A 56 year old man presents with 2 months of worsening dyspnea on exertion.  Now he can’t even go up the stairs without getting severely short of breath.   There is no fever, cough, chest pain, leg swelling or other symptoms.  He has no past medical history and his only medication is a steroid cream for a skin condition.

On exam he is afebrile with a pulse of 108, a BP of 118/70, respirations at 20, and a pulse ox of 94% at rest.  His lungs are clear without rales or wheezing, his heart is regular without murmur and his legs have no swelling, tenderness or cords.  The rest of his physical exam is normal.

His CXR & EKG are shown below.  What condition or conditions should you worry about and in what order.  Is his presentation “typical” or “atypical”?

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CLICK ON IMAGE FOR LARGER IMAGE

 CLICK HERE FOR CASE ANSWER AND TO MAKE COMMENTS

]]> http://www.erpocketbooks.com/2009/05/07/june-mystery-dyspnea/feed/ iPHONE APPS by DEEP POCKET SERIES http://www.erpocketbooks.com/2009/04/28/iphone-apps-by-deep-pockets/ http://www.erpocketbooks.com/2009/04/28/iphone-apps-by-deep-pockets/#comments Wed, 29 Apr 2009 03:34:07 +0000 ER Pocketbooks http://www.erpocketbooks.com/2009/04/28/iphone-apps-by-deep-pockets/  dps.jpeg

Get medical applications for your iPhone by clicking the link below.

- IV meds

- Depression assessment scale

- ABC Cursive writing

iPhone Apps by Deep Pockets

]]> http://www.erpocketbooks.com/2009/04/28/iphone-apps-by-deep-pockets/feed/ GIFTS FOR NURSES WEEK: MAY 6th-12th http://www.erpocketbooks.com/2009/04/23/nurses-week-2009/ http://www.erpocketbooks.com/2009/04/23/nurses-week-2009/#comments Fri, 24 Apr 2009 04:08:49 +0000 ER Pocketbooks http://www.erpocketbooks.com/2009/04/23/nurses-week-2009/  doctors-exam.jpg

Nurses week 2009 is May 6th-12th.  ERPocketbooks will offer it’s usual discount of 15% off or more whenever you buy 5 or more copies of the same book to use as gifts for  nurses week.  You must contact us to get this discount.  Available now until May 7th

]]> http://www.erpocketbooks.com/2009/04/23/nurses-week-2009/feed/ MAY MYSTERY: ANKLE INJURY http://www.erpocketbooks.com/2009/04/22/may-mystery-ankle-injury/ http://www.erpocketbooks.com/2009/04/22/may-mystery-ankle-injury/#comments Wed, 22 Apr 2009 16:47:48 +0000 ER Pocketbooks http://www.erpocketbooks.com/2009/04/22/may-mystery-ankle-injury/  A 42-year-old man injures his ankle on a slope.  He lost his balance and fell.  He’s not sure if it inverted or was rotated externally or all both.  He denies and other injuries, but is unable to bear weight.

On exam he has a good pulse and skin is intact without echymosis and the compartments are soft.  His ankle is tender bilaterally with mild swelling.  The foot is not tender.

His x-ray is shown below.

What type of injury to you see?

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CLICK ON IMAGE TO ENLARGE

CLICK HERE TO GO TO ANSWER

]]> http://www.erpocketbooks.com/2009/04/22/may-mystery-ankle-injury/feed/ SCRUBSMAG.COM http://www.erpocketbooks.com/2009/04/15/scrubsmagcom/ http://www.erpocketbooks.com/2009/04/15/scrubsmagcom/#comments Thu, 16 Apr 2009 04:14:10 +0000 ER Pocketbooks http://www.erpocketbooks.com/2009/04/15/scrubsmagcom/ Check out the new lifestyle website at ScrubsMag.com for nurses.

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It’s the nurses guide to good living and there’s a column in there somewhere by yours truely.

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