Author: Fernando Tejeda-Castro DO, PGY-1 Abstract 3,4-Methylenedioxymethamphetamine (MDMA), commonly known as “ecstasy” or “Molly”, has been used recreationally in the United States as a substitute for its analogue methylenedioxy-amphetamine (MDA).1 MDMA is an entactogen (meaning “producing a touching within”) that produces effects of enhanced pleasure, heightened sexuality, and expanded consciousness without the loss of control.2 … Continue reading Where’s Molly?
Author: myemresidency
Approach to New Onset Ascites
Author: Daniel Morrad PGY-4 Case: A 27-year-old Spanish speaking female with no medical history presents with complaints of abdominal pain. She is approximately 3 months postpartum from a vaginal delivery complicated by oligohydramnios. For 2 weeks she has had fever and sweats that seem to come and go, and abdominal discomfort described as a generalized … Continue reading Approach to New Onset Ascites
2022 ACEP Acute Heart Failure Syndrome (AHFS) Guideline Update
Author: Daniel Morrad, PGY-4 Patients who present to the emergency department (ED) with symptomatic AHFS are not only associated with high morbidity and mortality, but these cases alone account for over 650,000 visits to the ED in the United States annually. Over 80% of these patients will be admitted to the hospital with more than … Continue reading 2022 ACEP Acute Heart Failure Syndrome (AHFS) Guideline Update
Yew Broke My Heart
Resident: Joshua Pettengill MD, PGY-1 Emergency Medicine Faculty: Alexis L Cates DO, Emergency Medicine / Medical Toxicology The case… A 20 year-old female with a complicated psychiatric history of anxiety, bipolar disorder, OCD, and self-injurious behavior presents to the emergency department with a friend after a reported suicide attempt. The patient discloses that she had … Continue reading Yew Broke My Heart