The Toxic Shelf - The Unintentional Ingestion of a Cough Suppressant

May 29, 2023

A 4-year-old boy born with no past medical history presents in cardiac arrest. As resuscitation measures are underway, you obtain collateral from EMS and parents. The patient’s sibling was recently diagnosed with a viral upper respiratory infection and was prescribed a cough suppressant. Unfortunately, the medication had been left within reach of the child, and an unknown number of capsules were ingested.

Here we will lead you through the management of the cough suppressant “Tesselon Perles”.

Sumeet Sandhu, DO & Jenny Lu, MD

The Heart of the Matter - Posterior OMI

May 15, 2023

45-year-old Spanish-speaking male with no known past medical history presented to the ED with 2-3 hours of severe back pain and throat pain. You are handed the following EKG. What do you do?

Alejandro Negrete, MD

*Image 1:* Point-of-care ultrasound images demonstrate a collection of complex fluid in the bursa with septations, without bony cortical involvement in right longitudinal and right transverse planes.

Ortho Pearls - Septic Bursitis

May 1, 2023

The Case:

A 56-year-old male with no significant past medical history presents to the emergency department with worsening swelling, pain, and erythema of the right elbow. The patient had been seen two days earlier at an outside hospital, where he received an aspiration of his right elbow out of concern for septic arthritis, though the aspirated fluid demonstrated no organisms. He was thereafter discharged home with oral antibiotics. However, he continued to have worsening range of motion of the right elbow due to pain and swelling, though he is still able to pronate and supinate his arm. He also states that the erythema of his right elbow has increased in size and tracked proximally since being seen at the outside hospital two days prior.

Michael Dorritie, DO

the County Consult