1 06, 2017

A Sticky Case of “Splenomegaly”

2018-06-05T13:59:44+00:00June 1st, 2017|Critical Care, Summer 2017|

A 6-year-old female presented with a two-day history of abdominal pain after being referred by her pediatrician for evaluation of "splenomegaly." The patient had been complaining of constipation for the past six days along with a few episodes of nausea and vomiting.  On physical examination, a firm, non-tender mass was palpated extending at least 10 cm below the left costal margin.

13 10, 2016

Isolated Bandemia: What Should We Do with It?

2018-06-04T21:02:37+00:00October 13th, 2016|Critical Care, Fall 2016|

Almost immediately, emergency physicians know what to do with most abnormal lab results.  If a patient’s hemoglobin is 4.5 g/dL, they need a transfusion.  If their troponin is 12.3 ng/ml, they are having cardiac infarction.  If their lactic acid is 7.5 mmol/L, something terrible is going on.  What if the only abnormality they have on their blood work is bandemia?  Does it matter if their bands are 6%, 15%, or 32%? Or, are they all treated equally?