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 Can’t Turn Left…

@JoePinero

A 40 yo M hx of HTN, HLD, DM, PVD, who can’t turn left, is not Derek Zoolander, he’s a man having a stroke!  KNOW YOUR STROKE SYNDROMES!!! As we know, this is a favorite topic of the boards, and will time and again be asked on each board/in-service exam. So lets review some basic stroke territories…

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Dislocated Jaw? Bite Down on This Syringe!

by @JoePinero

The next time you have a patient with a dislocated jaw, hand them a 5cc or 10 cc syringe and tell them to stop, drop, bite and roll!

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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

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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

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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?

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