Thanks to Dr. Muhlfelder for today’s Morning Report! Inhalant Injuries Initial Mgmt: ABCs, IV, oxygen supplementation, monitor Exam: bronchospasm, airway edema, nares +/- thermal injury initial eval of airway is not good predictor of progressing edema/compromise, progresses over 24-72 hours bronchopulmonary injury + cutaneous burns >30%BSA increases Read more…
Here’s Dr. Ammon with a great Halloween edition of Morning Report! DELIRIUM TREMENS Most severe form of alcohol withdrawl manifested by AMS (global confusion) and sympathetic overdrive (autonomic hyperactivity). CHRONIC ETOH -> CNS DEPESSANT -> ETOH-GABA -> inhibitory effect…. No ETOH -> OVERACTIVE CNS -> CARDIOVASCULAR COMPROMISE… Read more…
Thanks to Dr. Gomes for another Morning Report! Beta-blocker Toxicity Receptors Beta 1- primarily in heart muscle. Activation –> increases HR, contractility and AV conduction. Decreased AV node refractoriness. Beta 2- primarily in bronchial and peripheral vascular smooth muscle. Activation –> vasodilation and bronchodilation Beta 3- primarily in Read more…
Ackee fruit grows mostly in the Caribbean islands and West Africa. The unripe fruit contains hypoglycin A. A metabolite of hypoglycin A binds to carnitine and coenzyme A, making them unavailable for metabolic reactions. Lack of these enzymes leads to inability to perform gluconeogenesis. When ackee fruit is allowed to Read more…
Dr. Muhlfelder presents today’s Morning Report! SCOMBROID The “seafood allergy”/ Histamine Toxicity Significantly underreported-misdiagnosed as seafood allergy Contaminated dark meat fish i.e. tuna, mackerel, skip-jack and bonito (name derived from Scromdroidea class of fish initially associated with illness) Less likely, but reported: mahi mahi, swordfish, sardines, salmon AND contaminated Read more…
Here’s Dr. Nordstrom with today’s Morning Report! The Case: 69 M with history of HTN and DM presents with 1 day of nausea and vomiting. Pt says he woke up in the morning and after breakfast started feeling dizzy and lightheaded. Vomited 10+ times until he came into ER. Denied Read more…
Thanks to Dr. Freedman for today’s Morning Report! Digoxin Toxicity Background: Naturally occurring chemical compounds Na+/ATPase Channel blockers Prone to poisoning Large volume of distribution Long half-life, ~36 hours Narrow therapeutic window, 0.6 – 1.3 ng/mL Digoxin: An Old Drug: CHF, A fib ~2% of all international patients. One Read more…
Today’s Morning Report is presented by Dr. Aldokhi! Mothball Toxicity
Thanks to Dr. Shin for a very timely Morning Report! Carbon Monoxide Toxicity Carbon Monoxide: Colorless and odorless and created by incomplete combustion Common sources are automobile exhaust, coal, wood or kerosene stoves Pathophysiology: CO binds reversibly to hemoglobin 230-270x that of oxygen causing functional anemia Half Read more…
Thanks to Dr. Lewis for today’s Morning Report! Coumadin-induced Coagulopathy Coumadin Antithrombic effect: blocks activation of vitamin K → interferes with hepatic carboxylation of coagulation factors II, VII, IX and X → impairs the extrinsic and common pathway Prothrombic effect: Blocks activation of protein C and S Circulating Read more…