Week in Review Feb 12th - 17th

Monday: Back to Basics - Bites in the ED

Remeber to consider contraindications to primary closure, antibiotics, tetaus and rabines.

Look at the great infographic for a quick review!

Tuesday: Advanced Practice - Autonomic Dysreflexia in Spinal Cord Injury

Seen in patients with incomplete (usually) spinal cord injury at T6 or above

Present with distended bladder/bowel, HTN, blurry vision, sweating, flushed skin.

Tx = Decompress bowel and bladder, consider antihypertensive medications.

Wednesday: What's the Diagnosis?

Thursday: #emconf - Inflammatory Bowel Disease

Great review of important HPI elements as well as Life Threatening Diagnosises:

Toxic MegaColon/ Obstruction, Perforation, Abscess, hemorrhage

Be sure to check: SBC, BMP, LFT, Lipase, ESR/CRP

Remeber to check Cdiff before starting steroids

Friday: Critical Care - Coagulopathy considerations in cirrhosis and trauma

Cirrhosis can have a complex balance of hemostasis, the elevated INR does not always indicate low risk for thrombotic complications and are often at high risk for such complications while also being at a risk for bleeding because of thrombocytopenia.

Transfuse platlets to keep >100k for serious bleeding

Saturday: Board Review - Thyroid Storm

So you made the diagnosis of thyroid storm, but which order to you start the medications?