Back to Basics: Le Fort Fractures
In a previous posts, we discussed the general approach to facial fractures and zygomatic fractures. Read on for specifics of Le Fort (maxillary) fractures and their management.
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Catherine Ginty, MD
Back to Basics: Dizziness & the HINTS exam
HINTS Testing: series of three physical exam maneuvers to differentiate peripheral and central causes of vertigo
Head Impulse test: tests vestibulo-ocular reflex
• Patient focuses on visual spot directly in front of them
• Rotate patient’s head rapidly from center to 40 degrees to the left and back again to center, repeat on the right
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What’s the Diagnosis? By Dr. Loran Hatch
20 yo male presents to the ED with left hip pain after MVC PTA. Patient was restrained back seat passenger, no LOC. Patient appears very uncomfortable on stretcher, with left leg propped on rolled blanket. Tenderness at left hip but no obvious deformity. LLE with DP pulses 2+, sensation intact, will wiggles toes.
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Back to Basics: Zygomatic Fractures
In a previous post, we discussed the general approach to facial fractures. Read on for specifics on signs and management of zygomatic arch & tripod fractures.
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Back to Basics: Zipper Injuries
Zipper injuries are not only seen in There's Something About Mary. Learn how to approach and treat them.
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Back to Basics: Succinylcholine and Hyperkalemia
“Airway cart to 9A. Intern, this tube is yours. What meds do you want?”
After the initial self-pulse check and change of scrub pants, two words come to mind: SOAP ME. Not in the literal sense, which may or may not be necessary depending on how nervous one is, but in the handy-dandy-easy-to-remember-in-high-pressure-situations-mnemonic sense. The deer-in-headlights (AKA intern-in-headlights look aside), this edition aims to take a look into an expected adverse reaction with a commonly used rapid sequence intubation (RSI) medication: hyperkalemia associated with succinylcholine administration.
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Back to Basics: Approach to Facial Trauma
Facial trauma is a common emergency medicine complaint. Learn the basics on facial anatomy and how to approach a patient with facial trauma.
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Back to Basics: Digoxin Toxicity Pearls
- Digitalis inactivates the Na-K-ATPase pump to increase intracellular calcium and extracellular potassium, causing + inoptropy, hence usage in CHF patients
- Dig also increases vagal tone and decreases conduction through the AV node, hence usage in atrial fibrillation. In toxic doses, this is what leads to bradydysrhythmias
Toxicity can either be Acute or Chronic:
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Back to Basics: Omphalitis
Omphalitis is a potentially life-threatening infection of the umbilical stump. Brush up with these pearls so you won't miss it on your next peds shift!
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Back to Basics: Chondrocalcinosis & Pseudogout
Ever notice calcium deposition on an xray and wondered what it meant? Ever read a radiology report that indicated chondrocalcinosis? Check out below for a few pearls related to chondrocalcinosis & pseudogout.
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