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Morning Report

Morning Report: Mesenteric Ischemia

Presenter: Dalton Tran PGY-1 Case: 60 y.o. female presenting to the ED for sudden onset, severe abdominal pain that woke her up from sleep. The pain is constant, located mostly in the epigastric region with radiation toward the back. Findings suggestive of bowel infarction, likely due to mesenteric ischemia caused by internal hernia. Learning Points: Congenital… Continue reading Morning Report: Mesenteric Ischemia

Morning Report

Morning Report: Depakote-induced hyperammonemic encephalopathy

Presenter: Emily Sze PGY-2 Case: 40-year-old male with history of depression and passive suicidal ideation presented after purposefully overdosing just prior to arrival on 10 tablets of Depakote 125mg, 80 tablets of Klonopin 2mg, 6 tablets of Topamax 25mg, and 10 tablets of Lexapro 10mg. Currently complains of no symptoms. Exam including full neurological exam… Continue reading Morning Report: Depakote-induced hyperammonemic encephalopathy

Morning Report

Morning Report: Hydrogen Peroxide

Resident Presenter: Kimberly Citarrella PGY III Topic: hyponatremia; intoxication Case Summary: 32 yo Hispanic male w/ PMH EtOH abuse presents as AMS. Per brother, he went on a 1 week drinking binge and may have consumed H2O2. He has been vomiting, last vomitus with some blood. Patient is combative and requiring 4 point restraints. Diaphoretic,… Continue reading Morning Report: Hydrogen Peroxide