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the County Consult

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

Figure 1. Index EKG

Heart of the Matter: An Underappreciated Cause of OMI

August 14, 2025

A 34-year-old male with a history of heart failure with reduced ejection fraction of 20-25%, hypertension, and cocaine use disorder presented to the emergency department with leg swelling, cough with bloody sputum, and chest pain on exertion.

Michael Hohl MD and Ari Edelheit MD

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In Cardiology Tags Cardiology
Comment

Pharm & Cheese: Pelvic Inflammatory Disease

July 27, 2025

PID encompasses all infections of the female upper reproductive tract, including endometritis, myometritis, salpingitis, tubo-ovarian abscess, parametritis, oophoritis, peri-appendicitis, perihepatitis, and pelvic peritonitis. Per CDC guidelines, diagnosis requires at least one of three minimum criteria: cervical motion tenderness (CMT), uterine tenderness, and adnexal tenderness.

Nanditha Ravichandran MD & Eric Leser MD

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In OB/GYN, Infectious Disease Tags Infectious Disease
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The Social Disposition – Housing Insecurity and the Emergency Department

July 16, 2025

Every single Emergency Department in the United States treats unhoused patients on a daily basis, and their needs vary greatly from ICU level care to the common cold. According to the National Alliance to End Homelessness, in January 2023, there were an estimated 653,104 people experiencing homelessness on a given night (1).

Amanda Dahl MD, Amel Pineda MD, and Rashid Kysia MD

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In Social EM
Comment
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