jjung@jhmi.edu

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A Tale of Two Heparins: Use of unfractionated versus low-molecular-weight heparin in patients presenting with NSTEMI

November 20, 2019

|

Katie Clark, M4

Case Presentation:

A 59 year old male with PMH of type 2 DM, HTN, HLD, former smoker, prior TIA, prostate cancer, and severe asthma presented to the ED with acute onset of chest pain and dizziness six hours ago. Pain was non-radiating and non-pleuritic. He also was expe...

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Tick Tock: Emergency Department Diagnosis and Treatment of Acute Ascending Paralysis in a Pediatric Patient

November 19, 2019

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Stephen Gragg, M4

Case Report:

A previously healthy 6-year-old girl is brought to the ED by her parents for overnight onset of “weakness” in her legs. She complained of minor tingling in her hands and feet the night before, but otherwise has been feeling well and had no recent illnesses...

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A “Spin” on Diagnosing Dizziness

November 13, 2019

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Whitney Hucks, M4

Case

 Presentation:

  • 77-year-old female with a PMH including TIA and hydrocephalus s/p VA shunt.

  • Presents with episodic “room-spinning” dizziness for one week.

  • Episodes are sudden-onset, last one minute, and are precipitated by certain head movements, such a...

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VQ to the Rescue! Utilizing Ventilation Perfusion Scanning to evaluate for Pulmonary Embolus

June 28, 2019

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Sarah Jamali, MS4

Case Report: A 53 year old woman with a history of DVT, hypertension, hyperlipidemia, type II DM and stage 3 CKD, presents to the ED with sudden onset pleuritic chest pain and dyspnea that began 2 hours prior to presentation. 

  • On exam, she is tachycardic with a hear...

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“To dialyze or not to dialyze?” Emergency Department Management of Lithium Toxicity

April 25, 2019

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Johnny Duan, M4

Case report: A 53-year-old female with a long history of schizoaffective disorder treated with clozapine, quetiapine, and lithium presents to the ED from outpatient psychiatry with altered mental status.  The patient was not able to provide a history due to change in m...

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ED Management of Migraines: Steroids, you say?!

April 11, 2019

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Lea Moujaes MS4

Case Presentation: 

47 year old female with PMH significant for hypertension and dyslipidemia presented to the ED with the chief complaint of a 1-week history of headache. Headache was described as unilateral, localized to the left side and described as throbbing in cha...

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Heparin or Not? An Evidence-Based Treatment for NSTEMI Patients with a History of Bleeding

February 14, 2019

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Hannah Gordon, MS4

Case Report: 

A 77-year-old male with PMH of Polycystic Kidney Disease(PCKD) status post kidney transplant and atrial fibrillation presents to the ED with dyspnea and exercise induced left-sided CP for the past month. He currently denies chest pain, neck pain, back pain...

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Leaving the ED Against Medical Advice: Consequences and Considerations

January 9, 2019

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Friederike Doerstling MS4

Case Presentation:

  • 49 year old female with a past medical history significant for congestive heart failure with preserved ejection fraction (last EF at 40%), unknown underlying psychiatric diagnosis, and an unknown abdominal surgery presents with persistent abdomina...

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When A, B, and C Collide: Tracheoinnominate Fistula Management

January 4, 2019

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Zachary Barbara, M4

Case presentation:

62 y.o man with history of proximal paraesophageal mass compressing trachea, status post tracheostomy 1 month ago, presents to the ED with massive hemoptysis.

Question: How do you know where the bleeding is coming from and how do you manage the airway?

...

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Hesitate no Longer: Identifying Suicide Attempts with Self-Inflicted Cuts in the ED

December 5, 2018

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Julia Lieberman, M4

Case Presentation:

  • 50-year-old male ambulates to triage with a self-made tourniquet on his right forearm with blood present.  The amount of bleeding cannot be determined, and the decision is made to activate a trauma. 

  • The primary survey is negative, excep...

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A Tale of Two Heparins: Use of unfractionated vers...

November 20, 2019

Tick Tock: Emergency Department Diagnosis and Trea...

November 19, 2019

A “Spin” on Diagnosing Dizziness

November 13, 2019

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jjung@jhmi.edu

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