Necrotizing pneumonia is a rare and severe complication of bacterial community-acquired pneumonia (CAP). Lying on a spectrum between lung abscess and pulmonary gangrene. Necrotizing pneumonia is characterized by pulmonary inflammation with consolidation, peripheral necrosis and multiple small cavities. Compromise of the bronchial and pulmonary vascular supply has the potential for devitalization of lung parenchyma. The lack of… Read More »
Not every adverse reaction to medication is an allergy. Take the picture above as an example. Narcan is an opioid antagonist, that means that it is used to counteract the effects of narcotic medications. I.e. we give this to patients with altered mental status, lethargy, unresponsiveness with a presumed overdose of narcotics. It acts quiet quickly… Read More »
In this video we demonstrate the use of ultrasound at the bedside in order to safely perform a paracentesis on this patient with idiopathic cirrhosis and fluid accumulation. This patient had a recent paracentesis just a few days prior and had already re-accumulated the fluid. In this next video I drained more than 10Liters of… Read More »
The other day I had the patient present to the ER with SOB (shortness of breath) and having black diarrhea (it basically looked like coffee). When we pulled blood for an ABG (arterial blood gas) it did NOT look like blood, it look like watered down Kool-Aid. So when they called me with the critical… Read More »
Below is the answer to the case…hope you learn from it! Please do comment below!
This patient with liver failure presented to the ER with severe edema of the legs. This gave me a great opportunity to catch live video of what edema that ‘pits’ looks like and opened the door for a great discussion on the correct way to describe pitting edema. You will learn in this video that… Read More »
My knife is stuck in my hand, doc. Is a video of a patient who presented to the ER with a knife…you guessed it, stuck to his hand. His knife fell, patient tried to catch it and instead it got stuck to his hand. Warning: This video may contain pus, pimple popping, surgery, zits, whiteheads,… Read More »