A 53-year-old male with a PMH of GERD presents to the emergency department with eye pain, photophobia, and vision loss after getting popped in the eye by a broken bungee cord. He believes the tip of the cord came around “like a whip” and struck him directly on the eye…
Read MoreRead the HPI and think about the questions on the title slide before watching the video. Put yourself at the bedside of this patient and form your own diagnostic and management plan. Designed to help you actually rehearse what you’re going to say and do at the bedside of a sick patient, keep tuning in each week for the same format but new and high yield Emergency Medicine pearls…
Read MoreThe assessment of extraocular movement (EOM) and pupillary light reflex can be used to evaluate for ocular injury post-trauma. However, many patients with ocular trauma can present with significant orbital edema or pain that limits assessment due to the physician being unable to retract the eyelids. Ocular ultrasound provides a unique way to assess the eyes in the event of a trauma without causing significant pain or harm to the patient. This blog post provides techniques on how to perform ocular ultrasound to assess EOM and pupillary light reflex…
Read MoreA 22 year-old female with a medical history of migraines and obesity who presents to the Emergency Department with a headache. Her headache was gradual in onset, but has progressively worsened and has not been relieved with NSAIDs. She describes the headache as dull and pounding with photophobia and phonophobia. She also notes associated nausea but no vomiting, and no associated neurologic complaints. She does note that she thinks during a previous ED visit at an outside hospital she was told she may have “high pressure in her head” but she does not remember the details and is not on any medication for it…
Read MoreA 16-year-old male presents with head trauma. The patient was in gym class when another classmate ran into him, kneeing him in the left eye. There was no loss of consciousness. On presentation, the patient complains of headache, dizziness, nausea, visual disturbance, and photophobia…
Read More
