Brief presentations of current topics in Emergency Medicine based upon our senior resident morning reports
Thanks to Dr. Freedman for today’s Morning Report! Digoxin Toxicity Background: Naturally occurring chemical compounds Na+/ATPase Channel blockers Prone to poisoning Large volume of distribution Long half-life, ~36 hours Narrow therapeutic window, 0.6 – 1.3 ng/mL Digoxin: An Old Drug: CHF, A fib ~2% of all international patients. One Read more…
ETCO2 – Capnography Technology -Infrared spectroscopy, CO2 absorbs specific wavelength -Micro sampling vs in line spectroscopy Physiology -Aerobic cell metabolism produces CO2 -CO2 diffused easily across alveoli and exhaled -CO2 partial pressure measured -Small difference between arterial CO2 and ETCO2; ETCO2 usually 2-5 mmHg lower Normal values Read more…
Today’s Morning Report is presented by Dr. Youn! Inhalant Abuse Definitions: “the deliberate inhalation of vapors for the purpose of changing one’s consciousness or becoming ‘high’” (Goldfrank’s Toxicologic Emergencies) – Sniffing: inhalation of a volatile substance directly from a container – Huffing: pouring a liquid onto fabric, placing Read more…
Thanks to Dr. Nordstrom for today’s Morning Report! The Case: A 45 y.o female presents to the ED with a chief complaint of leg pain. She says the rash started 1 week ago and is located on both of her legs and also both ears. The rash has been Read more…
Thanks to Dr. Ting for today’s Morning Report! Chronic SCI Complications of chronic SCI – DVT/PE – Decubitus ulcers – Pneumonia (even down to thoracic levels although only C3-5 controls the diaphragm due to impaired cough reflex) – Increased prevalence of CAD – UTI/renal stones due to bladder Read more…
Dr. Shin presents today’s special March Madness edition of Morning Report! Inferior Alveolar Nerve Block A nerve block of the intraoral mandibular or inferior alveolar nerve anesthetizes the following: The body of the mandible and the lower portion of the ramus All mandibular teeth The floor of the Read more…
Today’s Morning Report is presented by Dr. Berzon! Magnesium • Balance is a a function of intake and excretion (360 mg intake) • GI excretion usually stable • Kidney is main regulator • Excretion in loop of Henle mainly passive • Decreased absorption can be induced by diuretic Read more…
Thanks to Dr. Louis for today’s Morning Report! Ludwig’s Angina Definition: Progressive cellulitis of the connective tissues of the floor of the mouth and neck beginning in the submandibular space. Prognosis: Prior to antibiotics and airway adjuncts mortality was greater than 50%. Today estimated mortality about 8% Read more…
Here’s Dr. Grock with today’s Morning Report! The Case: 65 yo F known CHF presents with palpitations. Compliant with home meds, except Coumadin. No chest pain/sob/change in ET/orthopnea/pnd/other complaints. EKG shows: afib, rate of 87. CBC/CMP/TSH/Ua/CXR unremarkable. Plan? Atrial Fibrillation/Flutter Facts: irregularly irregular rhythm. Doubles mortality, Read more…
Thanks to Dr. Basile for presenting today’s Morning Report! Case: 74 yo female with pmh of HTN and arthritis presents with 3-4 days of lightheadedness and weakness. Pt also reports intermittent epigastric abdominal pain two days prior to presentation. Pt has also been taking naproxen for two weeks. BP: 171/97, Read more…