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the County Consult

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

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Pharm & Cheese: Bradykinin-Mediated Angioedema

January 12, 2026

You’re sitting by the EMS radio when a call comes in: 56 y/o male with no reported PMHx presenting with facial swelling that started earlier this morning. His lips are so swollen that he’s having some trouble controlling his secretions. He received epinephrine and diphenhydramine en route without too much improvement. 

Nanditha Ravichandran MD and Eric Leser MD

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In Critical Care, Pharmacology, Immunology Tags Weekly Cheese, Pharmocology, Critical Care
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Figure 1. Index EKG

Heart of the Matter: WCT

January 12, 2026

The patient is a 69-year-old female with past medical history of remote myocardial infarction status post stent placement 19 years ago, who is presenting for concern of chest pain. She states the pain started approximately 30 minutes prior to arrival and has shortness of breath as well as chest pressure. The pain radiates down her left arm.

Erica Dolph MD and Ari Edelheit

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In Cardiology Tags Cardiology
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Pharm & Cheese: Mannitol in the ED

December 10, 2025

Clinical Question: Mannitol Use in the ED – How to dose and Where it Is Kept? 

Mariam Isa, PharmD and Joanne Routsolias, ED Clinical PharmD 

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In Neurology, Critical Care, HEENT Tags Pharmocology, PharmD Pearl
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