Vangina as a Common Atypical Cause of Chest Pain.
Chest pain is one of the most common and often concerning symptoms for physicians of all training.  Tell a dermatologist you've got chest pain and they're calling an ambulance before they remove the maximum number of moles they'll get paid for in one visit.   Want to come to the emergency department (ED) to get checked for a pregnancy test?   Call an ambulance and tell them you've got chest pain when you take a deep breath in and that your mother just died of a pulmonary embolism.  You get a free ride through triage to the front of the line. The ED will always order a pregnancy test before they order ...
Source: The Happy Hospitalist - January 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Vangina and Fibromyangia as Common Atypical Causes of Chest Pain.
Chest pain is one of the most common and often concerning symptoms for physicians of all training.  Tell a dermatologist you've got chest pain and they're calling an ambulance before they remove the maximum number of moles they'll get paid for in one visit.   Want to come to the emergency department (ED) to get checked for a pregnancy test?   Call an ambulance and tell them you've got chest pain when you take a deep breath in and that your mother just died of a pulmonary embolism.  You get a free ride through triage to the front of the line. The ED will always order a pregnancy test before they order ...
Source: The Happy Hospitalist - January 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Another Arrow for Your Headache Quiver: Cervical Injections
People don’t come to the emergency department for treatment of headaches unless their headache severity or duration is intolerable or the headache is frighteningly different. (Neurol Clin 1998 May;16[2]:285.) Usually, these headaches have failed to respond to their usual and standard therapies. In fact, those who market the migraine-specific triptan drugs recognize that headaches that have progressed to the state of central sensitization simply don’t respond well to their drugs. (Ann Neurol 2004;55[1]:27; Ann Neurol 2004;55[1]:19; Clin Ther 2000;22[9]:1035.) Central sensitization is an increased response to stimulation...
Source: M2E Too! Mellick's Multimedia EduBlog - October 2, 2012 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

obesity. viagra. heart attack. thrombolytics.
Last night in the ER.......was very busy. And "busy" in a good way. Lots of codes and respiratory distress. Not so much "weak and dizzy" and "TMD (todo me duele)". The kind of night that reminds you why you chose emergency medicine as a specialty, and not primary care.Anyhoo, there was this one guy...A 36 yo morbidly obese Samoan man with a past medical history of diabetes, hypertension, and has lots of 'bad habits', was brought in by paramedics complaining of chest pain which started 10 minutes prior to the 911 call. He was sitting on the sofa watching reruns on TV when he suddenly felt a tightening in his chest. He got u...
Source: EM Physician - Backstage Pass - December 31, 2007 Category: Emergency Medicine Authors: Taylor Source Type: blogs