Back to Basics: Supracondylar Fractures
What's the most common elbow fracture in children?
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Katie Selman, MD
Bicarbonate in Metabolic Acidosis
Whether you use it or not, read this summary regarding the use of bicarbonate in metabolic acidosis
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Back to Basics: BRUE
Wondering what a BRUE is? Read on below for a quick summary.
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Back to Basics: HIV and Fever
A patient presents with HIV and a fever...what's in the differential? Below is simple review of the differentials to consider for patients with HIV who present to the ED with a fever based on CD4 counts.
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Back to Basics: Trench Foot
Trench foot
· Temperatures above freezing + wet conditions = immersion injury
· Commonly from continuously wearing wet socks and shoes
History
· Repeated exposure to wet and cold
o Homeless, military, outdoor workers
· Occurs over several days to weeks
· Tingling or numbness most common symptom
Exam
· Damp, pale or mottled in color
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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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Back to Basics: Treatment of Hyponatremia
Last week we wrote about how to approach hyponatremia, the differential and signs and symptoms to watch out for. The post this week reviews the treatment of hyponatremia including the dreaded osmotic demyelination syndrome. Read on for more!
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Back to Basics: Approach to Hyponatremia
Hyponatremia is defined as Na < 138 mEq/L and occurs in 15-30% of hospitalized patients. Read on for a quick overview of how to approach it and the clinical signs and symptoms to look for!
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