Seizures Following Therapy for Osteoporosis
2008-04-25 13:00:25
Submitted by: Dr. Steven Petak
A 60-year-old man was seen after presenting to the emergency room with seizures. His history is notable for having had gastric bypass surgery 5 years ago for obesity. About 2 months before, he injured himself playing tennis. An x-ray did not show a ... Read More

Back to Basics
2008-05-02 14:29:37
Submitted by: Dr. Richard Hellman
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for presumed cholangitis. Overnight, the patient ... Read More

Post Operative Hypernatremia: A Simple but Dangerous Oversight
2008-04-25 16:48:23
Submitted by: Fred A. Williams, Jr., MD, FACP, FACE
The patient is a 63-year-old Caucasian female with a history of central diabetes insipidus following resection of a nonfunctioning pituitary macroadenoma. The patient ... Read More

Too Much of a Good Thing: Thyroid Cancer Suppressive Therapy and Atrial Fibrillation
2008-05-05 13:21:26
Submitted by: John Tourtelot, MD
A 63-year-old man with a distant history of thyroid cancer presented to the emergency department with complaints of chest pain, palpitations and shortness of breath. He had been losing weight over the last year, which he attributed to chemotherapy ... Read More

Quick Takes
Bag of Meds
A seventyish female called EMS to her house due to a fall and can't move situation. The EMS arrived, brought her to the hospital and in doing so gathered up all prescription bottles in a plastic bag. We refer to this as the Bag'O Meds. Read More