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…
This block’s EM-CCM was a fantastic review of a commonly seen problem at its extreme. For the sake of brevity we will review: Renal failure associated metabolic derangements Indications for urgent dialysis Treatment of hyperkalemia- this is our bread and butter To bicarb or not to bicarb Not all troponinemia Read more…
This one comes not from our annals but it is interesting. Patients with UGIB can be very unstable and getting control of that bleeding is a key factor in keeping them alive. Here is a SR that provides evidence that TXA reduces mortality in these patients. Compelling given the low 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…
A CASE: A 40 y/o black homeless man presents with difficulty walking secondary to extreme left lower extremity pain. On exam, the patient is afebrile, HR 105, RR 20, BP 120/65. His extremity is swollen, warm, erythematous and extremely tender to touch. A sepsis code is called; the patient is Read more…
Today’s Morning Report is presented by Dr. Aldokhi! Post-Partum Preeclampsia 30 year old female referred from GYN clinic one week post partum with BP 150/98 for Preeclampsia work up Definitions – Preeclampsia: HTN with proteinuria or end organ damage – Eclampsia : Preeclampsia with seizure – HELLP: Hemolysis, Read more…