Category: Uncategorized

Retropharyngeal Abscess in an Adult

Case Presentation  A 53-year-old woman presents to the emergency department with three days of worsening dysphagia, odynophagia, and muffled voice. The patient is ten days status post adenotonsillectomy with inferior turbinate reduction for chronic tonsillitis and obstructive sleep apnea.  The patient tells her history by writing on a piece of paper since speaking is too … Continue reading Retropharyngeal Abscess in an Adult

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Psychogenic Polydipsia and the Case of Severe Hyponatremia

Psychogenic Polydipsia and the Case of Severe Hyponatremia

The Case The ambulance company calls in asking your emergency department to prepare for an agitated adult female with known psychiatric history.  Depending on where you work, this may involve having security at the ready with physical restraints and your best (strongest?) nurse with Haldol and Ativan in hand, for the patient’s safety and your … Continue reading Psychogenic Polydipsia and the Case of Severe Hyponatremia

ED Management of CCB Overdose: what works and where to start

ED Management of CCB Overdose: what works and where to start

From the moment I called Toxicology regarding a recent life-threatening Verapamil overdose, I realized that the number and variety of potential treatments for this toxicity can be overwhelming in an emergent situation. I was instructed to give “10-20mL of 10% calcium chloride followed by 48.75mEq/hour or 19.5-39mL/hour of 10% calcium chloride if needed.” None of … Continue reading ED Management of CCB Overdose: what works and where to start