Case: It’s your 5th straight night and your pediatric ED shift ends in one hour. A few stable patients came in during your shift, and you’re happy about that. No one wants kids to be sick. Your mind begins to wander. To be honest, the inner fat kid you’ve always Read more…
Welcome to Wednesday Wrap Up! Here is a summary of what we learned in conference today:
A young woman’s life was truly saved by the one and only… Dr. Molly Cutright! A 28 year-old woman with no past medical history was brought in by EMS for altered mental status. EMS reported that the patient had “belly pain and was pregnant.” She was moaning and not making Read more…
Dr. Blumenberg responded with a very good differential and plan for the COtM which netted him the correct answer. Take a look at his answer for great management plans and continue reading below for more information about the correct diagnosis. Click HERE to see the original case. This patient Read more…
In 2013, the FDA approved a new class of anti-diabetic medications called sodium-glucose cotransporter-2 (SGLT2) inhibitors. Insulin and metformin remain as preferred first-line agents for type-1 diabetes (T1D) and type-2 diabetes (T2D), respectively.1 However, due to their novel mechanism of action, SGLT2 inhibitors are an attractive second- or third-line option Read more…
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…
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…
Dr. Freedman is back with Part 2 of his Morning Report! Part 2: Quick Case: A 32 year-old gentleman, with no past medical history, presents with “I can’t move my legs.” Serum potassium = 1.4mmol/L. Diagnosis: Hypokalemic Periodic Paralysis Background: The periodic paralyses are a family of Read more…