Hematology/Oncology
Morning Report: Transfusion Basics
Dr. Bains is back with another Morning Report presentation!
Cardiovascular Evidence-Based Medicine
Are You Worried About Re-Infarction or Rhabdo: Does CK-MB matter?
It seems like only yesterday, I was writing about the silliness of some order set (link) with a one-click stop for amylase, lipase, and ketones. Now, for another. In some hospitals, a single, “cardiac markers” click orders troponin I and a CK with a reflex to CK-MB. Two tests in Read more…
Neurology
Morning Report: Delirium Tremens
Here’s Dr. Ammon with a great Halloween edition of Morning Report! DELIRIUM TREMENS Most severe form of alcohol withdrawl manifested by AMS (global confusion) and sympathetic overdrive (autonomic hyperactivity). CHRONIC ETOH -> CNS DEPESSANT -> ETOH-GABA -> inhibitory effect…. No ETOH -> OVERACTIVE CNS -> CARDIOVASCULAR COMPROMISE… Read more…
Infectious Disease
Morning Report: Cryptococcal Meningitis
Thanks to Dr. Grock for presenting today’s Morning Report! The Sign Out 45 yo M h/o AIDS (CD4=8, not on HAART) presents with voluminous non-bloody diarrhea x 3 days and near syncope/light-headedness today. No recent travel/antibiotics. He reports trying to drink a lot of fluid, but is a little nauseous, Read more…
Cardiovascular EM-Critical Care Procedures
Cardiac Tamponade
Cardiac Tamponade and Pericardiocentesis Summary by Dr. Kaycie Corburn Presented by Dr. Sally Bogoch The Case: 60 yo M PMH metastatic lung cancer, HTN, DM, former smoker presents to the ED with acute onset shortness of breath. Vitals in triage revealed tachypnea and tachycardia. Initial work-up revealed low voltage on EKG, Read more…
Gastroenterology
Morning Report: Esophageal Varices
Thanks to Dr. Kincade for presenting today’s Morning Report! Esophageal Varices Esophageal varices are dilated veins within the wall of the esophagus, usually at the distal end Epidemiology -50% of patients with cirrhosis; 25% to 35% variceal rupture within 2 years of diagnosis. -Greatest risk of rupture in Read more…
Infectious Disease Otolaryngology/Dental
Morning Report: Eye Infections
Here’s Dr. Alsup with today’s Morning Report! Eye Infections Orbital septum -Connective tissue extension of the orbital periosteum -Extends into the upper and lower eyelids Periorbital / Preseptal Average age: 2 yo Result of local trauma, including insect bites Spread from contiguous structures, as in conjunctivitis, hordeolum, Read more…
EM-Critical Care Neurology
A Critical Care Frequent Flyer: Stroke
We discussed an informative and interesting review article on stroke management in October’s Critical Care Minifellowship meeting. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062315/ This article highlights some important points (that shed light on how complicated the brain truly is) and touches upon some interesting neurological trials. A few points to mention are: – The idea of Read more…