Wrist dislocations
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24 year old female presented with right wrist deformity and pain after fall.
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Stacy Marshall, MD
Back to Basics: Recurrent Polymorphic VT/Torsades de Pointes
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It's pretty easy to remember what to do with unstable polymorphic VT/Torsades de Pointes (shock 'em!), but what are your options with recurrent stable episodes?
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Back to Basics: Postpartum Hemorrhage
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Postpartum hemorrhage is the leading cause of maternal death worldwide. Here is a great review for management by the ED doc by Stacy Marshall, MD.
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Back to Basics - Salicylate toxicity
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What do excedrin, pepto bismol, aspirin and oil of wintergreen have in common? Salicylates! As we know, this common drug can be quite toxic in overdose. Here we review the basics of salicylate poisoning.
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Back to Basics: Anaphylaxis
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What's the difference between anaphylaxis and anaphylactoid reactions? How do you diagnose and treat them? Should you avoid epinephrine in elderly patients? All these answers coming right up!
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Advanced Practice: Catheter Associated Asymptomatic Bacteriuria and Urinary Tract Infections
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59-year-old male with prostate cancer status post laser therapy (POD 14) presents with hematuria (bright red blood and clots) and difficulty urinating. Post void residual volume is 400cc. Urinary catheter is placed. Hemoglobin is stable and patient would like to be discharged with follow up with urology in 2 days. Should patients be placed on prophylaxis systemic antibiotics?
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What's the Diagnosis? By Dr. Stacy Marshall
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A 40 F presents to the ED with severe L shoulder pain and epigastric pain after a restrained driver MVC in which her car struck a tree.
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Advanced Practice: High Flow Nasal Canula in Pediatrics!
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You are caring for a 2 yo with multifocal pneumonia who is hypoxic on standard nasal canula. You decide to institute high flow nasal canula (HFNC) in an effort to stave off orotracheal intubation. Your repspiratory therapist requests parameters including flow rate (typically 0-40 LPM). What is the optimal flow rate to decrease work of breathing in this pediatric patient?
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Advanced Practice: Controlling Pain in the Cirrhotic Patient
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Confused about appropriate analgesia in cirrhotic patients? Here are some pearls for pain control!
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Advanced Practice - Neutropenic Enterocolitis
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Neutropenic Enterocolitis aka typhlitis, necrotizing enterocolitis, ileocecal syndrome
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- intestinal mucosal wall edema and disruption of wall integrity in a neutropenic patient
Pathogenesis:
- Weakened immune system --> intestinal overgrowth --> invasion of opportunistic bacteria.
- May lead to sepsis and bowel perforation.
- Mortality 22%-50%.
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