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 Type of object Time of injury Contact lenses? Prior history Read more…
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 rheumatic dz get IE. 50% elderly have calcific aortic stenosis. Read more…
The Critical Care Mini fellowship crew had an excellent discussion (and dinner) on October 21st led by Dr. Wendy Chan (moi!) and facilitated by Dr. Ashika Jain. We share our review of the literature with you below. Thank you for all who participated. I have included links to the orginal Read more…
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 clavicles. Risk: Portal of entry, virulence of pathogen, immunocompromised, co-morbidities Read more…
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 Lower acuity of illness (APACHE score) Able to cooperate, better Read more…
Presented by: Dr. Cassie Thomassin Summarized by: Dr. Yonatan Yohannes Reviewed by: Dr. Ian deSouza, Dr. Wendy Chan The Fictitious Case A 22 y/o F with PMH insulin-dependent DM and hypothyroidism is brought in by EMS for altered mental status. Family members on the scene noted she has been Read more…
Presented by: Dr. Luke Donnelly Summarized by: Drs. Wendy Chan and Yonatan Yohannes Reviewed by: Dr. Ian deSouza The Case: 27 year-old male no PMH BIBEMS for syncopal episode in bathroom. + significant family Hx of PE. Initial vitals: HR 138, RR 33, BP 87/64, 91% 02 on room air. Read more…
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 shaking, or dystonic posturing -Seizure 5x more likely than syncope Read more…
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 confirm by ultrasound -Attempt to coach the mother in controlled Read more…
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 common in western hemisphere, Aedes albopictus Prevention: mosquito prevention Read more…