Thanks to Dr. Lo Cascio for today’s Morning Report! Case: 70 F BIBA with transcutaneous pacing pads on being paced at 80 bpm. Pt is unresponsive with SBP 170s. Pt is normothermic with FS 170. Pt has PMH of HTN, DM, ESRD (no missed dialysis). Pt took ibuprofen at home yesterday for aches Read more…
Dr. Lewis presents today’s Morning Report! Hypoglycemia Hypoglycemia: serum glucose of <50 mg/dL, less than 30 mg/dL is considered severe hypoglycemia Causes Re Renal Ex Exogenous Insulin/antihyperglycemics P Pituitary Insufficiency L Liver A Alcohol, Addison’s, Aspirin I Infection, Insulinoma N Neoplasm D Drugs Medications Sulfonylureas (glipizide/glyburide): ↑insulin Read more…
TPA for MI when PCI is not available – recommended so thoroughly it’s in textbooks. TPA for clotted AV fistulas – surgeons do it. TPA in stroke…not going anywhere near it. TPA for PE…Interested? After a lit search [1] done under the tutelage of Dr. Shahriar Zehtabchi, here’s Read more…
Bad things happen. Trauma and tragic illnesses take the young and old. The world is not kind or just. And we, emergency docs, work at the intersection of daily life and tragedy. We strive to mitigate illness and injury. But often we can’t. We’ve all seen tragedies and monsters. And Read more…
Here’s Dr. Adal with today’s Morning Report! Peritonsillar Abscess Differential Diagnosis: Tonsillitis, Pharyngitis, Epiglottitis, Paratonsillar Cellulitis, PTA, RPA, PPA, Diptheria, Ludwigs angina, Uvulitis, Mononucleosis, Acute HIV, Carotid Aneurysm. Epidemiology: Most common deep space infection of the neck. Young adults in winter and early spring. Pathogenesis: Polymicrobial Read more…
Thanks to Dr. Wang for presenting today’s Morning Report! Nailbed Injuries Typically caused by crush injuries with hammer, in doorway, or car doors. Trauma by saws, knives, or drills can also cause these injuries Subungual hematoma: 50% have underlying nailbed laceration Nailbed injuries: nailbed lacerations Workup includes Read more…
This one is not from our annals but it is the best study on the use of Mg in severe asthma exacerbations. Thankfully most asthmatics with sever exacerbations do not die or get intubated but they often get admitted, does treating them with Mg result in better outcomes over placebo? Read more…
Morning Report is back in the new year! Here’s Dr. Bogoch with a brand new 2015 edition! Evaluation of Vaginal Bleeding in Second Trimester > 20 weeks: we generally do not see the patients except for severe illness or trauma. Differential Diagnosis: Ectopic pregnancy is exceedingly rare, but Read more…
Thanks to Dr. Kopping for today’s Morning Report! THYROID STORM Thyrotoxicosis represents anywhere from 0.05% to 1.3% Storm represents <10% of hospitalized However untreated 80 to 100% mortality Drops to 20 to 30% with treatment What makes the difference from thyrotoxicosis to thyroid storm? Comparable levels Precipitating Read more…