Trauma Awareness Month Is Almost Here – Test Your Knowledge with Genitourinary Trauma Question
April 18, 2019


Posted by Andy Jagoda, MD in: Brain Tease , add a comment

A patient suffering blunt abdominal trauma complains of suprapubic pain and has gross hematuria. Initial CT of the abdomen and pelvis with IV contrast is normal. Do yo know the answer? read more

Clinical Pathway for Management of Sexually Transmitted Diseases in the Emergency Department
April 15, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

Sexually transmitted disease can cause severe outcomes for patients, their partners, and their unborn babies, and swift and accurate diagnosis and treatment is essential to reduce morbidity and minimize the potential public health risks. read more

15-year-old girl presents with irregular periods — Brain Teaser. Do you know the answer?
February 26, 2019


Posted by Andy Jagoda, MD in: Brain Tease , 3 comments

Test your knowledge and see how much you know about treating and managing adolescent gynecologic emergencies.


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A 25 weeks’ pregnant patient presents with a blood pressure of 180/120 mm Hg. — Brain Teaser. Do you know the answer?
February 24, 2019


Posted by Andy Jagoda, MD in: Brain Tease , 2 comments

Test your knowledge and see how much you know about treating and managing life-threatening headaches in the ED.

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Clinical Pathway for Emergency Department Management of Abnormal Uterine Bleeding in Adolescent Patients
February 18, 2019


Posted by Andy Jagoda, MD in: Feature Update , 1 comment so far

In the emergency department, gynecologic complaints are common presentations for adolescent girls, who may present with abdominal pain, pelvic pain, vaginal discharge, and vaginal bleeding. The differential diagnosis for these presentations is broad, and further complicated by psychosocial factors, confidentiality concerns, and the need to recognize abuse and sexual assault. read more

Adolescent Gynecologic Emergencies. What do you do?
February 14, 2019


Posted by Andy Jagoda, MD in: What's Your Diagnosis , 1 comment so far

You are then called to the resuscitation room for a 17-year-old girl who was found unresponsive at home. On examination, she is ill-appearing, lethargic, has cool distal extremities, normal heart sounds, and clear lungs, and her abdomen is soft but tender in the left lower quadrant. Her vital signs are: blood pressure, 80/40 mm Hg; heart rate, 130 beats/min; respiratory rate, 25 breaths/min; and oxygen saturation, 95% on room air. What are the immediate first steps in managing this patient? What testing is needed for evaluation and management? What is the appropriate disposition? read more

Using anti-D immune globulin in first trimest of pregnancy — Brain Teaser. Do you know the answer?
January 24, 2019


Posted by Andy Jagoda, MD in: Brain Tease , 1 comment so far

Test your knowledge and see how much you know about treating and managing first trimester pregnancies in the ED.

Did you get it right? Click here to find out! read more

Treatment Pathway for Emergency Department Management of Nausea and Vomiting of Pregnancy
January 17, 2019


Posted by Andy Jagoda, MD in: Feature Update , 2 comments

Timely management of patients presenting to the ED while in their first trimester of pregnancy can improve outcomes for both the patient and the fetus. Common obstetric problems encountered include vaginal bleeding and miscarriage, ectopic pregnancy and pregnancy of undetermined location, and nausea and vomiting of pregnancy, including hyperemesis gravidarum. read more

Intrauterine pregnancy presenting with fever. What do you do? — First Trimester Pregnancy Emergencies in the ED
January 12, 2019


Posted by Andy Jagoda, MD in: What's Your Diagnosis , add a comment

Case Recap:
Late in your shift, you evaluate a 26-year-old woman who has a confirmed intrauterine pregnancy at 11 weeks’ gestation and presents for fever, dysuria, and right flank pain. An ultrasound was performed in triage that showed bilateral mild hydronephrosis. read more

Intrauterine pregnancy presenting with fever. What do you do? — First Trimester Pregnancy Emergencies in the ED
January 5, 2019


Posted by Andy Jagoda, MD in: What's Your Diagnosis , 18 comments

Late in your shift, you evaluate a 26-year-old woman who has a confirmed intrauterine pregnancy at 11 weeks’ gestation and presents for fever, dysuria, and right flank pain. An ultrasound was performed in triage that showed bilateral mild hydronephrosis. read more