Category: Tanenbaum Night Pages

Case 4

A 29-year-old man with no significant past medical history presented to the emergency room with a high fever, chills, sore throat, cough, shortness of breath,

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Case 3

An 18-year-old patient with a PMH significant for childhood medulloblastoma requiring cerebellar resection, radiation, and chemotherapy all around age 5 and mild developmental delay presented

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Case 2

A 21-year-old, 37-week pregnant woman, G1P0, with a PMH significant for diet-controlled gestational diabetes presented to the hospital with regular uterine contractions. She was admitted

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Case 1

A 60-year-old woman with a PMH significant for hypertension, hypothyroidism, and frontotemporal dementia presented to the emergency department with one day of unsteady gait and

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GI Bleeding

Gastrointestinal hemorrhage can be lethal, but fortunately, the management is usually cognitively straightforward. Most patients do fine. Our job is to put blood into the

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Insomnia

Patients Lose Sleep in the Hospital Pain, noise, acute illness, stress, unfamiliar environment/bed, procedures, blood draws, and other diagnostic tests are a few of the

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Atrial Fibrillation

Atrial fibrillation is a very common arrhythmia in the hospital. Fortunately, it is usually easy to manage. In general, I treat a-fib with RVR in

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Alcohol Withdrawal

There are two conventional strategies to treat alcohol withdrawal: symptom-driven administration of benzodiazepines, and phenobarbital monotherapy. Patients with alcohol withdrawal syndrome (AWS) have relative GABA

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Ischemic Stroke

“Brain Attack” Every stroke is different, but the principles of stroke management are always the same. An ischemic stroke occurs when there is an issue

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