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Who loves relocating shoulder dislocations as much as I do? I know you do. Often patients undergo procedural sedation in order to achieve adequate pain control and muscle relaxation. Alternatively or...
Michelle Lin, MD |
Overdoses of long-acting opiates, such as oxycodone and methadone, are challenging to manage, especially if these patients are chronically on opiates. On the one hand, you want to reverse some...
Michelle Lin, MD |
You are managing a 300-pound patient with a long history of severe COPD, who now requires intubation because of a pneumonia and COPD exacerbation. You anticipate that the patient may...
Michelle Lin, MD |
A patient with Parkinson’s disease presents with chest pain to your ED. Her tremors prevent you from getting a good quality EKG because of the movement artifact. How can...
Michelle Lin, MD |
A patient presents with significant shortness of breath from a COPD exacerbation. His room air saturation is 80%, respiratory rate of 30, and is uncomfortably seated in a tripod position....
Michelle Lin, MD |
You are a fourth-year medical student and super-excited to be doing your first supervised central line procedure on an actual patient. You have done so many central lines on mannequins...
Michelle Lin, MD |
Performing a physical exam on frightened pediatric patients can often be challenging. I am always thrilled to add more child-whisperer techniques to my arsenal of tricks. I have written in...
Michelle Lin, MD |
A 55 year old woman presents with rheumatoid arthritis presents with monoarticular joint pain in her left knee for the past 3 days. She has a low-grade fever of 100.2...
Michelle Lin, MD |
You diagnose a patient with benign paroxysmal positional vertigo (BPPV) based on the Dix-Hallpike maneuver. This is caused by otoliths and debris in the posterior semicircular canal. Now what? The...
Michelle Lin, MD |
The Dix-Hallpike maneuver is used to help diagnose benign paroxysmal positional vertigo (BPPV). Place the gurney's head of the bed down flat. Reposition the patient so that s/he is sitting...
Michelle Lin, MD |
A 35 year old man presents with low back pain which radiates down his right leg to the level of the knee. Is this sciatica? Low back pain is one...
Michelle Lin, MD |
One of the indications for nasogastric (NG) tube placement is to instill fluids or medications. This may be saline or water for NG lavages or charcoal. You can manually...
Michelle Lin, MD |
One of the hardest bandages to apply well is one for auricular hematomas. After drainage, how would you apply a bandage to prevent the re-accumulation of blood in the perichondrial...
Michelle Lin, MD |
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