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    APRIL MYSTERY: EYE IRRITATION

    A 47 year old man presented to the ED with left eye irritation that had been present for about two weeks. He denies trauma, headache, discharge and vomiting but does have some degree of photophobia and slightly blurred vision that seems to clear when he blinks. On exam you note injection without discharge. Look closely at the image. What type of conjunctivitis does he have? For Answer, click here, or link below.
    iritis.JPG

    Click here for the full case and answer

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    MARCH MYSTERY: HYPOTENSION

    A 68 year-old female with a history of diabetes, renal disease and pacemaker placement for heart block presents with 36 hours of weakness, near syncope and occasional vomiting. On exam she is afebrile with a pulse of 126 and a blood pressure of 81/53. She appears adequately hydrated and has clear lungs and a non-focal exam. Her labs are unremarkable except for a positive UA. Her EKG is shown below. How would you initiate treatment?
    cimg1344.JPG
    Click here for the full case and ANSWER:

    If the answer link above does not work, try clicking here. For Safety Tips click here)


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    THE HIPPOCRATIC OATH SUMMARY

    hippocrates.jpg hippocrates.jpg
    Respect your teachers
    Pledge your life to the service of others
    Place your patients interests before your own
    Protect your patients from harm & injustice
    Treat all patients equally
    Respect patient’s right to make decisions
    Continue to improve the care you give
    Do not become intimate with patients
    Try to prevent as well as cure disease
    Protect your patients’ confidentialitY
    Impart your medical knowledge to others


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    WELCOME TO THE NEW ERPOCKETBOOKS.COM

    caduceus.jpgThe new ERPocketBooks.com has a fresh and user-friendly design that focuses on clinical medicine. There are medical mysteries, an ultrasound library, and of course pocketbooks. The new site will start out with most of the content of the old site, but will soon surpass it. The old site is still accessible at www.EDinsight.com. If it’s safety and prevention advice you’re after, visit GotSafety.org. For anything else medical, visit MedFools.com.

    Please support our efforts by telling your colleagues about the site and by either making a donation to patient safety or purchasing books.


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