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Here you will find information regarding rotation schedules, academic resources, wellness and facts about our program and residents. Check out our bios and photos. Please also visit the Emergency Department's official residency website. This site is intended for Mount Sinai EM residency purposes only, and no information on these pages is intended or should be construed as medical advice. Read more.

Sepsis and Ppm Failure

85 yo M with PMHx of CHF, paroxysmal atrial fibrillation and dual chamber PPM placed for sick sinus syndrome, who presents with lightheadedness, confusion and progressive lethargy x 1 day. At arrival to the ED patient hypotensive 70/30, bradycardic 46 x min, febrile 102 F.

EKG is obtained

Ekg

 

 

 

 

Initial labs are remarkable for pH 7,10 HCO3 10 and Lactate of 5, with normal electrolytes

Patient’s pacemaker is set at a rate of 60 and recent interrogation showed no abnormalities.

What is the diagnosis and most likely explanation for this problem?  Continue reading “Sepsis and Ppm Failure” »

Twisted Ankle

A 32 yo M presents with ankle pain and swelling after forcefully externally rotating it while playing soccer. He is unable to ambulate.  Ankle x ray is shown below.

What other joint should you image?

Continue reading “Twisted Ankle” »

Pediatric Hypoglycemia

A 3 year old M presents to the ED with lethargy.  Fingerstick is 38.

How do you give this kid sugar??

Continue reading “Pediatric Hypoglycemia” »

Wernicke’s Encephalopathy

Classically presents with which triad of clinical features?

Continue reading “Wernicke’s Encephalopathy” »

Lead

What lead level in blood requires chelation therapy?

Continue reading “Lead” »

Chris Hansen


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