Category: Morning Report

Hepatorenal syndrome

Thank you Dr. Vega for this Morning Report Hepatorenal Syndrome Patient usually has history of cirrhosis, hepatitis, or can be acute in setting of ATN or recurrent hospitalizations with nephrotoxic agents.   Types of hepatorenal syndrome Type I: Rapid/progressive impairment of…

Status Epilepticus

Thank you Dr. Kopping for this Morning Report.   Initial treatment goals: As per “expert opinion” and Dr. Kopping’s opinion ABCs this is EM after all Vitals, oxygenate, IV, finger stick, fluid resuscitate Stop the seizure: Benzo’s (lorazepam (IV) and…

Tumor Lysis Syndrome

This Morning Report is brought to you by Dr. Bonnie Brown Tumor Lysis Syndrome What is TLS? Oncologic emergency caused by the massive lysis of tumor cells, most frequently after initiation of cytotoxic therapy (chemotherapy, steroids, radiation) but can be…

Globe Rupture

Thank you Dr. Joyce Wang for today’s Morning Report. Globe Rupture Occurs when a blunt object impacts the orbit Ruptures are commonly at the site where sclera is thinnest – insertion of the extraocular muscles or at the limbus History…

Infectious Endocarditis

Here’s Dr. Abram with today’s Morning Report! Infectious Endocarditis  – infection of endothelium of heart, valves, septal defect. Generally fatal without treatment, leading to valvular insufficiency, congestive heart failure and myocardial abscess. 20% from rheumatic heart disease. 6% of those with…

Fournier’s Gangrene

Here’s Dr. Abram with today’s Morning Report! Fournier’s Gangrene Named for: Jean-Alfred Fournier, venereologist in Paris, in an 1883 lecture Anatomy: Tends to run in between fascial planes, often sparing superficial and deep structures. Scarpa’s fascia can run up abdomen to…

NPPV

Here’s Dr. Carmelli with today’s Morning Report! Noninvasive positive pressure ventilation (NPPV) Definition -NPPV refers to positive pressure ventilation delivered through a noninvasive interface (nasal mask, facemask, or nasal plugs), rather than an invasive interface (endotracheal tube, tracheostomy). Indications: Younger age…

9/11/2015

Here’s Dr. Chan with today’s Morning Report!   Unprovoked  First Seizure in Adults   Was this really a seizure? -Fair Marker: Incontinence (38% sensitive, 57% specific) -Strong Markers: Postictal confusion, tongue biting, cyanosis, confirmed unresponsiveness, aura, eye deviation, rhythmic limb…

9/10/2015

Dr. Corburn presents today’s Morning Report!   Emergency Room Extramural Deliveries: What can go right?  What can go wrong?   What can go right? -Is the infant descending head-first (not breech-buttocks or feet first): decide this based on examination and…

9/8/2015

Thanks to Dr. Abram for today’s Morning Report!   Dengue Fever (“Breakbone Fever”)   Virus: Flavivirus – 4 related viruses (DENV 1-4). Other flavivirus include St. Louis Encephalitis, West Nile Virus, Yellow Fever.   Vector: Mosquito – Aedes aegypti most…