Here’s Dr. Aluisio with today’s Morning Report! Medical Therapies for Stable Upper Gastrointestinal Bleeding: Risk, Benefit and Equivocality Epidemiology • Incidence: 40-150 per 100,000 per annum, with 450,000 hospitalizations in the USA • Causes: peptic ulcer (~45%); gastro-duodeno-esophagitis (25%); varicies (~15%) Other (Mallory-Weiss tear, tumor, angiodysplasia, aorto-enteric fistula) Read more…
Today’s Morning Report is presented by Dr. Adal! Shoulder dislocation The most common joint dislocation (approximately 50% of all joints) Mechanism Presentation Associated injuries Anterior Indirect blow with arm in abduction, extension, and external rotation Arm is held in abduction and slight external rotation with shoulder appearing “squared Read more…
Thanks to Dr. Brown for presenting today’s Morning Report! Case presentation: 46 y/o F with no sig PMH presented to ED with chief complaint of vomiting and weakness. HR 132, RR 20, Temp 99.6, BP 185/75, and O2 100% on RA. Not too much history, kind of delirious. PE Read more…
Dr. Gomes presents today’s Morning Report! PROCEDURAL SEDATION Definition: -technique of administering a sedative or dissociative agent along with analgesia to induce a state that allows patient to tolerate unpleasant procedures while maintaining adequate spontaneous cardiorespiratory function Complications: -oversedation, respiratory depression/arrest, hypoxia, hypotension, prolonged awakening, agitation, nausea/vomiting, Read more…
Congratulations Dr. Adesina! and thanks for the Morning Report! Management of Submassive (Intermediate Risk) PE Massive PE (high risk): acute PE causing hemodynamic instability and hypotension, pulselessness, or profound bradycardia Submassive PE (intermediate risk): hemodynamically stable PE w/ right ventricular dysfunction (RVD) or myocardial necrosis. Low Read more…
Supraclavicular CVC Placement First described in 1965 as an alternative method for obtaining central venous access At the insertion site the subclavian vein is closer to the skin than using the infraclavicular subclavian vein approach Insertion sites of the needle include One centimeter lateral to the lateral border of the Read more…
Today’s Morning Report is presented by Dr. Bart! Valproic Acid Background -Used for seizure disorders, BPD, migraine prophylaxis. -Peak concentrations at 6 hours except for enteric coated capsules. -Complications: -COMMON: Sedation, ataxia, weight gain, nausea, tremor, or hair loss -SEVERE: Hepatotoxicity, thrombocytopenia, aplastic anemia, pancreatitis, hyperammonemia (>80 ug/dL or Read more…
Here’s Dr. Alsup with today’s Morning Report! Tendon Rupture Background: -Galen described in 130-201 CE. In which he described a young man injured during a wrestling match -Young people: trauma/sports -40-60 yo: chronic inflammation Sx: pain, swelling, loss of assoc muscle function. – frequently is an immediate ‘pop’ or Read more…
Hey Thanks to Dr. Grock for today’s Morning Report! Case 1: 75 year old female with pmhx DVT no longer on Coumadin, recent radical mastectomy currently on chemo/rad for breast cancer presents after long flight with pleuritic chest pain and shortness of breath. She is tachycardic, tachypnic, and hypoxic. Read more…
Dr. Aluisio presents today’s Morning Report!