Here’s another EKG to get you guys talking. Thank you Dr. Silverberg and Dr. Brown for the case. 73 chinese female h/o dm, htn and high cholesterol had syncopal episode. Felt heart racing and palpitations prior to passing out at bingo in her church. Only complaint now is slight chest 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…
Welcome to the first Evidence Based Medicine blog entry, where we discuss the mounds or molehills of data for what we do in the ED. Are we practicing dogma? Or is there some science behind it? For the first topic, I bring you… To Lavage or Not – Are We 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…
CYANIDE POISONING Sources Ingestion – chemists, photographers, jewelers, lab techs have access to cyanide salts Smoke inhalation – release of cyanide from combustion of wool, silk, synthetic rubber Occupational exposure – many industrial processes involve CN (jewelers, mining, fumigation, photography) Medicinal sources – nitroprusside Food sources – pits of apricots, Read more…
Thank you to Dr. Aherne for this edition of Morning Report, Gamekeeper’s Thumb/Skier’s Thumb Injury to the Ulnar Collateral Ligament (UCL) of the thumb True gamekeeper’s thumb is a chronic condition, due to repeated valgus force on MCP joint while killing or carrying game, leading to insufficiency of the 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…
Thank you to Dr. Backster for today’s Morning Report with some clinical pearls on lightning injuries: . Lighting strikes Neg charged lightning: more common, occurs within the storm Pos charged lightning: stronger, longer exposure, & can occur miles from the storm Mechanisms of injury from lightning: electrical (direct or Read more…
Hey guys, Check out this case and let me know what you think. I will post the answer and discussion in 1-2 weeks. 45 year old male with history of abnormal heart beat, htn complaining of difficulty breathing and palpitations. His vital signs are 130/90, HR 215. The pt is Read more…
The Dr. Audrey Tan Advice Column Practical Advice. Not so sexy but definitely necessary. ABSCESSES To pack or not to pack to prevent recurrent/repeat infection? 7 prior controlled studies suggesting that packing prolongs wound healing times without decreasing abscess recurrence rates BUT poor studies and most compared packing with primary Read more…