Welcome to the Mount Sinai Emergency Medicine Residency Website.

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.

I’ve Got the Black Lung Fluke

Post by @JoePinero

25 yo M no phx, from Ecuador, in US for 6 months, CC 1 month of cough w/speckled hemoptysis, +intermittent subjective fevers responsive to tylenol/motrin. +Wt loss of 7-10 lb’s in past month. In Ecuador worked as fisherman in a small village.

Vitals: 99.9 (oral) 113  130/80  98%RA
Gen: Well-appearing, thin male, coughing frequently
Resp: mild crackles LLL, no resp distress
Abd: Soft, non-tender, non-distended
Ext: No periph edema
Skin: No rash

CBC: 10 > 14/40 < 220   seg 80%  eos 8.3

Chest XR Cxr

Continue reading “I’ve Got the Black Lung Fluke” »

Statistics is Boring, Necessary, and We’re All Terrible at It!

A recent study published in JAMA,  ”Medicine’s Uncomfortable Relationship With Math: Calculating Positive Predictive Value,” highlighted a massive hole in our education. Out of 24 attendings, 26 residents, and a handful of medical students, < 25% of participants was able to correctly calculate the positive predictive value (PPV) of a test. Thus I thought it was time to give a brief review of this topic…. Stats 101 here we go….

Test Result     Disease +     Disease -

Positive           True + (a)      False + (b)

Negative         False – (c)      True – (d)

Continue reading “Statistics is Boring, Necessary, and We’re All Terrible at It!” »

Blood Can Be Very Bad- Systematic Approach to Brain Ct

Post by @FTeranmd

Ct for Sinai Em Pearl

Using a systematic approach when reading a brain CT will make you a better doctor

Because you only see what you’re looking for. Don’t believe?

watch: http://goo.gl/6sIZ9x

A simplified and systematic approach to the evaluation of non-contrast brain CT for the Emergency Physycian

Continue reading “Blood Can Be Very Bad- Systematic Approach to Brain Ct” »

Persistent Cough and Ptosis

Post by @Fteranmd

55 yo M active smoker presents to the ED complaining of months of persistent cough, associated with difficulty reading due to inability to fully open his left eye.

Ptosis

Physical exam is remarkable for findings shown in the picture above. Patient is otherwise well-appearing and has normal vitals.

A chest x-ray is obtained as part of the initial work up, and diagnosis is made.

What is the diagnosis?

Continue reading “Persistent Cough and Ptosis” »

Intra-arrest Goal-directed Monitoring in 2014

Post by @Fteranmd

Screen Shot 2014-11-06 at 9.22.41 Pm

Thinking outside ACLS: Summary slide for conference lecture -Pathophysiology of Cardiac Arrest-

http://edecmo.org/intra-arrest-goal-directed-monitoring-beautiful-nutshell-felipe-teran-md/

Chris Hansen


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