Here’s Dr. Aluisio with today’s Morning Report! Medical Therapies for Stable Upper Gastrointestinal Bleeding: Risk, Benefit and Equivocality Epidemiology • Incidence: 40-150 per 100,000 per annum, with 450,000 hospitalizations in the USA • Causes: peptic ulcer (~45%); gastro-duodeno-esophagitis (25%); varicies (~15%) Other (Mallory-Weiss tear, tumor, angiodysplasia, aorto-enteric fistula) Read more…
Today’s Morning Report is presented by Dr. Adal! Shoulder dislocation The most common joint dislocation (approximately 50% of all joints) Mechanism Presentation Associated injuries Anterior Indirect blow with arm in abduction, extension, and external rotation Arm is held in abduction and slight external rotation with shoulder appearing “squared Read more…
Thanks to Dr. Brown for presenting today’s Morning Report! Case presentation: 46 y/o F with no sig PMH presented to ED with chief complaint of vomiting and weakness. HR 132, RR 20, Temp 99.6, BP 185/75, and O2 100% on RA. Not too much history, kind of delirious. PE Read more…
Congratulations Dr. Adesina! and thanks for the Morning Report! Management of Submassive (Intermediate Risk) PE Massive PE (high risk): acute PE causing hemodynamic instability and hypotension, pulselessness, or profound bradycardia Submassive PE (intermediate risk): hemodynamically stable PE w/ right ventricular dysfunction (RVD) or myocardial necrosis. Low Read more…
Here’s Dr. Alsup with today’s Morning Report! Tendon Rupture Background: -Galen described in 130-201 CE. In which he described a young man injured during a wrestling match -Young people: trauma/sports -40-60 yo: chronic inflammation Sx: pain, swelling, loss of assoc muscle function. – frequently is an immediate ‘pop’ or Read more…
Hey Thanks to Dr. Grock for today’s Morning Report! Case 1: 75 year old female with pmhx DVT no longer on Coumadin, recent radical mastectomy currently on chemo/rad for breast cancer presents after long flight with pleuritic chest pain and shortness of breath. She is tachycardic, tachypnic, and hypoxic. Read more…
Dr. Aluisio presents today’s Morning Report!
That moment when an idea strikes you. Something stutters the laminar flow of the mind. A mental murmur, perhaps. It’s that hiccup that alerts you that something’s up, something needs to be reassessed. This happened to me at Janus General, where Grock works. Neurology clinic referred a patient to Read more…
Still getting flack when you call for Ketamine in the resuscitation bay? Unsure if your colleagues from another mother are correct to chastise you? A recent systematic review evaluated the literature in relation to ICP as well as the outcomes that matter, disability and death. Give it a read here, so Read more…
EM-CCM Summary, 9/2/2014- The Sick Asthmatic. Presented by Dr. Elizabeth Abram The Case (As usual, this is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see): 25 year old female with URI and asthma exacerbation. In the ED, the Read more…