February 5, 2020

Shoe-domonas

A 10 year-old boy steps on a nail while wearing sneakers. Would you initiate prophylactic antibiotics with Pseudomonas coverage? It’s a good question. Much like this one: Plantar puncture wounds are common and the anatomy of the foot makes it an excellent environment for infection
August 19, 2019

fluoroqui-NO-lones

All antibiotics come with side effects. Some are fairly innocuous, like an upset tummy. Others are a little more serious, like aortic dissection and death. The beauty of medicine is that we have more treatment choices now than ever before. And as our antibiotic options
June 11, 2019

Myasthenia Gravis and Difficulty Breathing

How should you evaluate patients with myasthenia gravis who present to the Emergency Department with shortness of breath? For instance, take the hypothetical case of a 45 year-old woman who presents to the ED with shortness of breath. She has diminished breath sounds bilaterally, audible
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