Emergency Medicine Research Fellow: Evan Bosman Directors: Michael Beeson MD Erin Simon DO Bosman1.

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Presentation transcript:

Emergency Medicine Research Fellow: Evan Bosman Directors: Michael Beeson MD Erin Simon DO Bosman1

Case Reports Cervical Artery Dissection Mesenteric Ischemia and Lower Extremity Claudication Superior Vena Cava Syndrome in pediatric patient Bosman2

Cervical Artery Dissection 32-year-old female G4P4, 3 weeks postpartum First reported case of spontaneous and simultaneous bilateral carotid and bilateral vertebral artery CTA revealed dissections, while MRI/MRA failed to do so Bosman3

Dissection Images R. Vertebral “Owl Eye” L. Carotid “Candle Flame” Bosman4

Mesenteric Ischemia 48-year-old female presented with abdominal pain and claudication of left lower extremity Extreme stenosis throughout abdomen vasculature 99% stenosis of the Iliac artery Bosman5

Superior Vena Cava Syndrome 7-year-old male presenting with facial swelling and discoloration Indwelling portacath since birth for immunoglobulin immunodeficiency CT revealed an occlusion of the distal SVC where the right catheter ended, due to a thrombus Patient started on anticoagulants

Emergency Medicine Milestones Revised Milestone rubrics and the scoring sheets EM Milestones: framework to assess resident physicians competency 12 milestones (medical knowledge, disposition, diagnosis, etc) Bosman7

Sim Center/Shadowing Intubation Sutures Casting Slit Lamp Lumbar Puncture Bosman8

Thank You Dr. Beeson Dr. Simon Gregory Griffin Attending and Resident Physicians Angie South Frank Fire Bosman9