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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Figure 1. Bedside renal ultrasound showing moderate right hydronephrosis

Consider the Probe: When It’s More Than Just a UTI, Imaging Dilemmas in Pregnancy

November 19, 2025

The patient was a 23-year-old G3P2 female, approximately 3 months and 12 days pregnant based on her last menstrual period, who presented to the Emergency Department with pelvic pain and vaginal bleeding, as well as dysuria and hematuria for three days. She had not yet established care with an obstetric provider.

Kelly Landry MD and Christine Jung MD

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In Renal, OB/GYN, Ultrasound Tags Ultrasound, Abdomen/GI
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Pharm & Cheese: A Shocking Case

November 19, 2025

We start this lovely Wednesday with EMS bringing in a 70-year-old man who just had a v-fib/v-tach arrest. After 5 rounds of CPR, 4 shocks, and 3 doses of epi, they’ve got him back! You prep airway equipment and the ultrasound, and in a few minutes, the patient arrives. 

Samson Frendo MD and Eric Leser MD

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In Cardiology, Critical Care Tags Critical Care, Cardiology
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Figure 1. Index EKG

Heart of the Matter: Dextrocardia

November 19, 2025

The patient is a 46 year old female who is presenting for concern of epigastric pain, nausea and vomiting. The patient has a history of chronic nausea, bipolar disorder, diabetes on insulin, and gastroparesis. Given her age and chief complaint, an EKG (Figure 1) was ordered to rule out atypical ACS.

Erica Dolph MD and Ari Edelheit

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In Cardiology Tags Cardiology
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