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.

Complications of Dental Caries – Visual Diagnosis

A 45 year old male comes in with swelling of the tongue, fever to 102F, and O2 sat of 92% at triage. Patient states he has been having dental pain for the past two days.

 

Ludwig's Angina

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4th of July Games

4 teasers for the 4th of July weekend.

1. What is this and why is it dangerous?

Toxic Megacolon

2. Patient had a DVT + PE, then got an IVC filter, then had another PE. How?

3. Fun Sporcle quiz - 3 letter body parts, 2 min

4. Higher level Sporcle quiz - Doses and drips, 5 min (good for 2nd years)

Answers to 1 & 2 are below.

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And the Pregnancy Test Result Is…

Let’s learn more about POCT pregnancy tests…

At our institution, we use a POCT pregnancy test using urine.  This is an immunochemical test that can additionally be used by serum to detect pregnancy.  In order to obtain accurate results, those developing the test must wait THREE minutes using a urine sample and FIVE minutes using a serum sample.

The beta-HCG hormone level threshold for which this test can detect pregnancy (per the manufacturer) is 25 mIU/mL, with a specificity of 99%.

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Male Gu

A 36 year old male with no past medical history presents reporting two weeks of worsening penile pain and notes pain when retracting his foreskin.  Vital signs are within normal limits. Without giving the answer away with the patient’s exam, let’s make a differential!

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Red in the Face

A nurse from triage presents a case to you of a 43 year old woman that he believes is having an allergic reaction.  When you evaluate the pain, you notice her skin is bright red from her face to her ankles.  She denies any pruritis, and you do not appreciate any hives.  She denies any difficulty breathing/swallowing, sensation of throat tightness, or changes in voice.   She denies any chest or abdominal pain.  No nausea or vomiting.  She reports she feels anxious.

She reports a past medical history of hyperlipidemia, and states she was diagnosed with C diff (two weeks ago diagnosed by positive stool culture), for which she was started on Flagyl (PO) at home.  She denies use of any other medications at home or any new exposures.  She denies any history of allergies to food or medications.  She denies cigarette or illicit drug use.  She reports occasional alcohol use, and reports she had two glasses of red wine with dinner.

Her vital signs are as follows:

T = 98.7, BP = 132/79, HR = 88, RR = 16, O2 = 98% room air

Her exam is remarkable for:

Anxious appearing female

Diffuse erythema, no hives or other rashes

Coarse bilateral UE tremors

What do you think is going on, and what would you do next?

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