A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index EKG
A 60-year-old male with hypertension and diabetes presented to the emergency department for two hours of substernal chest pain radiating to his jaw. The EKG from triage (Figure 1) is brought to the emergency physician (EP) stat due to some subtle abnormalities. Based on this EKG what are your next steps?
Michael Hohl MD and Ari Edelheit MD
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There are no specific lab value parameters that differentiate thyroid storm from less severe thyrotoxicosis, but the presence of multiorgan dysfunction is key8. We have a great guideline for general thyrotoxicosis management (“Thyrotox Updated Guideline”) on the Intranet, so this Cheese is only a closer look at thyroid storm in particular.
Nanditha Ravichandran MD, Joanne Routsolias PharmD, and Eric Leser MD
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The patient is a 53-year-old man with a history of none who presented to the emergency department with an atraumatic painful and red left big toe for 3 days. The onset was slow and gradual, and limited to the left big toe. He had never had pain or redness like this before in his toes. He denied any trauma to the joint. No significant or debilitating pain with moving the joint, however mild pain noted. He denied fever or chills, open wounds.
Priyanka Pradhan MD and Dave Murray MD
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