Morning Report: 4/17/2012

Dr. Kazzi presents some clinical pearls about preoxygenation for today’s Morning Report (originally presented 4/10/2012):   Preoxygenation   Physiology of Preoxygenation: Preoxygenation extends the duration of safe apnea (defined as the time until a patient reaches a saturation level of 88-90%) Below 88% patients are on steep decline of O2 saturation curves Read more…

Morning Report: 4/12/2012

Thanks to Dr. Guy for today’s Morning Report (presented on 4/9/2012)! Central Retinal Artery Occlusion Epidemiology:  55% mortality rate over 9 years 2% bilateral involvement mean age 62   Pathophysiology:  emboli in retinal artery/ branches ophthalmic artery from intraorbital branch of internal carotid artery ischemia and edema irreversible cell injury Read more…

Morning Report: 4/9/2012

Today’s Morning Report is thanks to Dr. Willis with some clinical pearls about strangulation/hanging injuries:   Strangulation / Hanging injuries   Mortality: Death from injury to spinal cord or brainstem, mechanical constriction of neck structures, bradycardic cardiac arrest (carotid sinus stimulation and increased vagal tone)   Types: Complete –> feet Read more…

Morning Report: 4/5/2012

Thanks to Dr. Brothers for putting together today’s morning report (which was presented on 4/2/2012)! Here’s the case: 35 yo F history gastric bypass surgery 7 years ago presents with severe epigastric pain. Denies N/V/D. Has been constipated for past 2 weeks, hasn’t been taking her bowel regimen for past Read more…

Morning Report: 3/23/2012

Thank you to Dr. Backster for today’s Morning Report with some clinical pearls on lightning injuries: . Lighting strikes Neg charged lightning: more common, occurs within the storm Pos charged lightning: stronger, longer exposure, & can occur miles from the storm   Mechanisms of injury from lightning: electrical (direct or Read more…