Stony Brook
EMergency Medicine

(631) 444-3880


101 Nicolls Road,

Stony Brook, NY 11794

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Copyright 2019 Designed by Michael Beck MD

The Morning Report

The Best in FOAM Education

December 24, 2019

A 65 y/o male with atrial fibrillation on aspirin presents with confusion after an unwitnessed fall. Patient has persistent symptoms of confusion for 3 hours while in ED with difficulty walking after return to baseline. His CT head is normal. MRI is unremarkable. Thirteen hours later, patient still...

A 77 y/o F presents with new-onset global aphasia, dysarthria, R hemiplegia, R sided neglect, and R homonymous hemianopsia without R hemi-sensory defect. Her last known normal was 2 hours ago.

CTA/CTP showed sub-occlusive thrombus/embolus in the left middle cerebral artery with good distal flow. The...

September 27, 2019

This is an 81-year-old male on rivaroxaban for atrial fibrillation who suffered a witnessed fall down several steps. On EMS arrival, he was asymptomatic. During transport and his initial ED assessment, he deteriorated, developing worsening encephalopathy and the Cushing reflex.  He required anticoag...

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December 16, 2019

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