Here’s Dr. Wang with today’s Morning Report! Ingested Foreign Body Foreign bodies can be anywhere in the entire GI tract. The esophagus has three areas of narrowing where foreign bodies are most likely to become entrapped upper esophageal sphincter (UES) crossover of the aorta lower esophageal sphincter (LES) certain Read more…
Thanks to Dr. Kincade for today’s Morning Report! Wellens Syndrome Pattern of inverted or biphasic T waves in precordial leads that are specific for critical LAD stenosis Critical stenosis LAD High risk of anterior MI w/o medical tx: 75% pt advance to ant MI in avg 8.5 days Read more…
Here’s Dr. Alsup with today’s Morning Report! Hip Dislocations *Dislocations and fracture-dislocations are true orthopedic emergencies History: ABC’s: This injury is a red flag for multisystem injury Associated injury (95%) Assoc acetabular fracture 70% Knee fractures/ligamentous injury/ dislocation 30% Sciatic palsy 10% of patients (peroneal nerve branch) Read more…
Dr. Grock presents today’s Morning Report! Pulmonary Infections CAP If no abx in last 3 mo and healthy: A Macrolide (2nd line Doxy) If chronic heart, lung, liver, renal disease, DM, ETOH, Ca, Asplenia, Immunosuppressed, or abx use in last 3 months: Resp fluoroquinolone, B-lactam + Macrolide If Read more…
Today’s Morning Report is presented by Dr. Aldokhi! My Butt Hurts (Procidentia) Case: 79 year old female with abdominal pain Definition Full-thickness intussusception of the rectum through the anus Epidemiology Bimodal age distribution (extreme of age) Causes Children <3 increased abdominal pressure (constipation, chronic diarrhea) – Read more…
Thanks to Dr. Corburn for presenting today’s Morning Report! Malignant MCA Syndrome Stats -Space occupying cerebral edema resulting after MCA stroke -Occurs in 10% of all strokes -About 13% of proximal MCA strokes experience severe cerebral edema Pathophysiology -Cytotoxic edema begins within hours of the stroke and Read more…
Thanks to Dr. Bogoch for presenting today’s Morning Report! You’re Not Dead Until You’re Warm and Dead- or are you? Epidemiology: 1500 deaths in the USA are attributely to hypothermia yearly Measuring Core Body Temperature: Distal third of the esophagus Bladder: inaccurate if performing peritoneal lavage Rectum: Read more…
Thanks to Dr. Lewis for today’s Morning Report! Congestive Heart Failure: Acute Pulmonary Edema Goal: (1) Preload Reduction (2) Afterload Reduction (3) Inotropic Support Nitroglycerin short-acting, rapid onset systemic venous and arterial dilator – decreases MAP by reducing afterload and preload repeated SL nitro (0.4 mg) q3-5 Read more…
Here’s Dr. Bart with today’s Morning Report! Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) PRESENTATION: Typical onset 26 weeks (within 2 months) Most common inciting drugs: Aromatic Anticonvulsants: Phenytoin, phenobarbital, allopurinol, sulfa NSAIDS, antiretroviral medications, ACE inhibitors, calcium channel blockers, antibiotics Fever and rash then systemic symptoms Read more…