Today’s morning report is thanks to Dr. Willis! Pradaxa: Dabigatran etexilate Pharmacokinectics -Max effect in 2-3 hours -Excreted in 12-14 hours -Renally excreted (80%) -CrCl <30 prolonged excretion and elevated concentrations -No P450 interaction. Low plasma protein binding Dosing -CrCl >30 150mg BID -CrCl 15-30 75mg BID Read more…
We’re back with all new Morning Report’s this week. Today’s is a review of IO access courtesy of Dr. Guy, so check it out! Intraosseous Vascular Access History Sweden 1922 World war II 1944 1980 used in India for cholera epidemic 1988 PALS Anatomy Nutrient artery-ascending and descending Read more…
Here’s Dr. Semenovskaya with another graphically intensive Morning Report! So, how do you fix it? What’s next? Thanks Zina! Leave any comments below.
Today’s Morning Report is courtesy of Dr. Harriott: We begin with a case presentation, A 25-year-old man was transported to the emergency department (ED) by police after exhibiting unusual behavior. The patient was found with marked agitation and altered mental status. His girlfriend reported that he had injected bath salts Read more…
For today’s Morning Report, we have a review of Leptospirosis by Dr. Caputo: Leptospirosis Morning Report When should we consider it? –>Leptospirosis should be considered when a patient has a flulike disease with aseptic meningitis or disproportionately severe myalgia. Travel history important. Multi-organ involvement. Background: Leptospirosis is a disease Read more…
Today’s Morning Report is thanks to Dr. Semenovskaya: (Sorry about the technical difficulties with the above slide, The Bugs are Staph including MRSA, Strep, Haemophilus The Drugs are Broad-spectrum penicillin or quinolone and remember clinda if there is concern for MRSA)
Thank you to Dr. Pearsall for today’s Morning Report: Reversing coumadin-associated ICH: PCC vs FFP Vitamin K for sustained reversal of vit-K dependent coag factors (10mg IV slowly) Oral anticoagulant therapy increases degree of bleeding, with mortality > 50% PCC: inactive vit-K dependent coag factors (II, IX, X Read more…
Today’s Morning Report is courtesy of Dr. Benson: “I think I (k)nee-d some help” 42 y/o M presents for right knee pain and swelling, occurring for the last few days, notably worse today. Differential? Trauma Septic arthritis OA RA Lyme arthritis Gout Bursitis Cellulitis Indications Read more…
Here’s a Morning Report from Dr. Julie on Hemolytic Uremic Syndrome: HUS Cause EHEC (Shiga toxin-producing enterohemorrhagic E. coli) 70% of US HUS cases 0157:H7 (Most US cases) O104:H4 (Germany last yr) 0111 (Australia and US) Shigella (Shigella dysenteriae type 1) India, Bangladesh, and southern Africa Read more…
Here’s Dr. Caputo with an overview of the presentation, diagnosis, and management of Fournier’s Gangrene: FOURNIER’S GANGRENE Rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with a potentially high mortality rate (15-50%) The rate of fascial necrosis has been noted to be as Read more…