Abdominal and Pelvic Computed Tomography for the Diagnosis of ST-Elevation Myocardial Infarction: The Challenges of Acute Coronary Syndrome in Diabetic Patients.

Diabetes mellitus (DM) is a major independent risk factor for cardiovascular disease. Patients who present with the metabolic emergency of diabetic ketoacidosis (DKA) have similar symptoms of diaphoresis, nausea, emesis, and abdominal pain, which can conceal acute coronary syndrome (ACS). We present a unique case where computed tomography (CT) of the abdomen and pelvis with IV contrast played an integral role in diagnosing an acute myocardial infarction in a patient with no typical ischemic symptoms.

New-onset atrial fibrillation incidence and associated outcomes in the medical intensive care unit.

Background: In patients with critical medical illness, data regarding new-onset atrial fibrillation (NOAF) is relatively sparse. This study examines the incidence, associated risk factors, and associated outcomes of NOAF in patients in the medical intensive care unit (MICU).

Methods: This single-center retrospective observational cohort study included 2234 patients with MICU stays in 2018.

Vital Role of Transesophageal Echocardiographic Surveillance of a Left Atrial Appendage Perforation Complicating Attempted Percutaneous Appendage Occlusion.

• This case describes an evolving LAA perforation complicating an attempted LAA occlusion. • This case describes detection and management of the complication under TEE guidance. • This case highlights the importance of diligent intraoperative procedural imaging.

Preparation for the United States Medical Licensing Examinations in the Face of COVID-19.

The COVID-19 pandemic has led to the canceling and rescheduling of the United States Medical Licensing Examination (USMLE) examinations due to the nationwide closure of the Prometric testing centers, which poses a significant challenge to medical students. The rescheduling of a high-stakes board examination leads to significant stress and potential burnout. Students may need guidance to decrease anxiety and reframe their study plan while maintaining their knowledge.

STEMI during the COVID-19 Pandemic - An Evaluation of Incidence.

The COVID-19 pandemic has dramatically changed the practice medicine on a global scale during the year 2020. With fewer patients presenting to hospitals with the diagnosis of STEMI, healthcare workers are wondering what is causing this decline. This piece presents data from two medical centers and addresses several possible causes to explain this phenomenon.

High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management.

Introduction: High-pressure injection injuries have been chronicled for decades.1 These injuries often affect distal extremities as they are most commonly involved in workplace accidents.1 However, we discuss a young male with a paint-gun injection injury to his face.