Thanks to Dr. Eli Brown for presenting today’s Morning Report! Acute Aortic Regurgitation AR: diastolic flow of blood from the aorta into the LV Epidemiology: prevalence in U.S ranges from 2-30%, but on 5-10% have severe disease overall prevalence < 1% in general population. Predisposed in: Read more…
It wasn’t too long ago that I reviewed pulmonary infections for a morning report (see summary here). We reviewed some fun facts including: – 10 % of HCAP have atypical infections indicating the use of Azithromycin. – For outpatient CAP treatment, IDSA recommends Azithromycin (other option being doxy) – For Read more…
I had wanted to write on the utility and interpretation of serial CBCs. I do it all the time and I’m sure my practice is not well-informed. However, it’s doing. It’s active. And we love doing. (Check out Drs Sinert and Zehtabchi’s paper1) Speaking about doing, yesterday I was Read more…
Presented by: Dr. Niccole Bart Summary by: Dr. Kaycie Corburn The Case: 70 year old female with a long past medical history including a previous heart block with a pacemaker placed 20 years ago presents to the ED following a witnessed VF arrest with ROSC in the field within 5 minutes of Read more…
Dr. Grock presents today’s Morning Report! Case: 32 F 18 wks by LMP presents with chest pain: sharp, non-exertional, 7/10, mildly decreased ET, bilat LE edema. VS HR 102, BP 130/74, RR 20, Temp 99.8 oral, O2sat 98% on RA. What are you worried about? PE? MI? Let’s start Read more…
Presyncope is a poorly studied symptom. Often practitioners dismiss it or treat it like a full syncopal event, but until recently what the risks are in this population of patients in the ER was not well known. Do you want to know what the best study to date shows on the Read more…
Thanks to Dr. Kincade for today’s Morning Report! Wellens Syndrome Pattern of inverted or biphasic T waves in precordial leads that are specific for critical LAD stenosis Critical stenosis LAD High risk of anterior MI w/o medical tx: 75% pt advance to ant MI in avg 8.5 days Read more…
Thanks to Dr. Lewis for today’s Morning Report! Congestive Heart Failure: Acute Pulmonary Edema Goal: (1) Preload Reduction (2) Afterload Reduction (3) Inotropic Support Nitroglycerin short-acting, rapid onset systemic venous and arterial dilator – decreases MAP by reducing afterload and preload repeated SL nitro (0.4 mg) q3-5 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…