A Week in Review: Aug 5th - 11th

Monday: Back to Basics - TTP

Classic Pentad = Fever, Hemolytic anemia, Thrombocytopenia, Renal pathology, CNS abnormalities

Workup = CBC, BMP PT/PTT, LFTs, LDH, haptoglobin

Tx = Plasma Exchange Therapy

Tuesday: Advanced Practice - Thoracic Outlet Syndrome

Symptoms = Nerve compressoin (tingling, numbness, weakness, pain) + venous symptoms (swelling, edema) rarely arterial symtoms

Work up = CXR for bony abnormality around 1st rib. Duplex US for narrowing / thrombus formation

Tx = Physical therapy, Anticoagulation if thrombus present

Wednesday: What's the Diagnosis?

Thursday: #emconf - US vs CXR for pediatric Pneumonia

Critical apprasial of the literature bewteen:  Find out is US ready for Prime Time?

Jones BP, Tay ET, Elikashvili I, et al. Feasibility and Safety of Substituting Lung Ultrasonography for Chest Radiography When Diagnosing Pneumonia in Children: A Randomized Controlled Trial. Chest. 2016;150(1):131-8.

Yilmaz HL, Özkaya AK, Sarı gökay S, Tolu kendir Ö, Şenol H. Point-of-care lung ultrasound in children with community acquired pneumonia. Am J Emerg Med. 2017;35(7):964-969.

Friday: Critical Care - A Curious Case of Seizures

Seizure in a patient with ESRD with progressive confusion and AMS

Time for Benzos or what would be better?