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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Figure 1. Index ECG notable for repolarization abnormalities of leads III and V2.

The Heart of the Matter - A Case of Recurrent Chest Pain

April 26, 2024

A 50-year-old male with a history of tobacco use disorder presents with 1 week of intermittent, central, pressure-like chest pain that lasts a few minutes at a time without clear exacerbating or relieving factors. He had a particularly severe episode just before arrival but is now pain free. The initial ECG is shown in Figure 1.

Samson Frendo, MD and Adam Roussas, MD

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In Cardiology Tags Cardiology
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Source: Image by brgfx on Freepik

The Cheese - When Less is More with Orthopedic Complaints

April 23, 2024

We’ve all been told to x-ray above and below the area in question. How much we do it varies, but we have all done it at one point, and rarely do I find an abnormality that was occult. Here we question when we can do less in a couple of orthopedic-specific issues.

Jose Reyes, MD

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In Orthopedics/MSK Tags Orthopedics/MSK
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Source: Image by Drazen Zigik on Freepik

The Social Disposition – Opioid Use Disorder: Overdose Prevention and Harm Reduction

April 15, 2024

In Chicago alone, over 1500 people died from overdose in 2023. Nationwide, the numbers are only getting worse, and the same will likely happen in our backyard. Here we review options for managing opioid use disorder in the City of Chicago to help prevent whatever harm possible.

Priyanka Pradhan, MD

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In Social EM
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