Welcome to this week’s edition of Wednesday Wrap-up! There was some great lectures this morning making it very tough to pick a topic to focus on but I think the subject that generated the most discussion was palliative care in the ED. Thanks Dr. Tan for a great senior lecture. Read more…
Pediatric Conference 4/4/12 Follow Up: DKA Management Clinical Pearls DKA in Pediatrics: DKA occurs when there is a disruption in the balance between insulin and counter-regulatory hormones secondary to a deficiency in circulating insulin. The resulting state is hyperglycemia, hyperosmolarity, increased lipolysis, ketonemia and metabolic acidosis. Diagnostic criteria Read more…
ICU Conference 3/28/12 Follow-Up: Serotonin Syndrome and NMS Pt on “multiple psychiatric medications” presents to the ER “acting strangely”… after doing a physical exam and excluding other potential causes, your primary differential includes… Serotonin Syndrome Epidemiology: Occurs in 15% of patients who overdose on SSRI’s Pathophys: Excess serotonergic activity due to Read more…
As physicians, our job is to know the medicine and take care of patients. That’s what we signed up to do when we decided to go to medical school. However, as the years pass, politics and insurance companies seem to be dictating more and more of how we practice medicine. Read more…