The Chart Review

Medical blog with a focus on Emergency Medicine and related topics

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Acute Pulmonary Edema – Nitro vs Lasix?

by Elisha TargonskyPosted onMarch 14, 2013November 8, 2013

A 75yF presents to your ED acutely short of breath. Two hours prior to ED arrival, she became suddenly short of breath. Her family tried administering her salbutamol (Ventolin) to no avail. She was driven to the ED. Her PHx…

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2 Difficult Cases to Swallow

by Elisha TargonskyPosted onFebruary 19, 2013November 8, 2013

A fairly frequent presentation to the ED is that of difficulty swallowing. By true definition this is “dysphagia” although commonly physicians and physicians-in-training use this word interchangeably with “odynophagia” (painful swallowing). Here are two interesting and unusual cases of dysphagia…

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Pulmonary Embolism and the Chest X-ray

by Elisha TargonskyPosted onJanuary 25, 2013November 8, 2013

The diagnostic evaluation and management of pulmonary embolism (PE) is an ever-controversial and ongoing debate in emergency medicine. As emergency physicians (or med students, residents, others), we are constantly bombarded with questions and conflicting opinions on PE: 1)      Is gestalt…

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Open Letter to Influenza

by Elisha TargonskyPosted onJanuary 14, 2013September 16, 2013

Dear influenza, I’m going to come right out and say it. I don’t like you. I’m a nice guy, as most people will tell you. I don’t fight with consultants, I pick up shifts for colleagues in need and I…

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