Sierra Beck

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When a sore throat is more than just a sore throat…

This is a patient that I saw in the ED a few weeks back. She was a young otherwise health female who presented to the ER for several days of sore throat, pain with swallowing, and difficulty swallowing. On exam her airway was patent and she did not have stridor. She had tenderness over the anterior …

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Playing tennis and you feel a pop?

  The IOW this week comes from Dr. Nicole Franks. Her patient is 48 year old male, who presented to the ER with ankle pain and difficulty with ambulation after an injury while playing tennis.  He reports he heard a pop when the injury occurred.    Bedside ultrasound above was obtained. To get this image place the patient …

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To shock or not to shock that is the question?

  A 60 yo male came into Midtown a few days ago for generalized weakness.  He was hemodynamically stable and the EKG above was obtained.   With an irregularly irregular wide complex tachycardia like this our differential is fairly short… 1) A-fib or MAT with aberrant conduction (aka a bundle branch block) 2) A-fib or …

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