Monday: Back to Basics - Chondrocalcinosis & Gout

Goes by  new name: Calcium Pyrophosphate Dihydrate Drystal Deposition (ie. CPPD) or Acute Calcium Pyrophosphate crystal arthritis

Synovial fluid will have positive birfringent rhomboid or rod-shaped crystals (think P for "positive" and "pseudo") vs. the negative bifringent rod-dhaped crystals of gout.

Tuesday: Advanced Practice - Afib with RVR and Discharge?

Check out this review: Stiell IG, Clement CM, Perry JJ, Vaillancourt C, Symington C, Dickinson G, Birnie D, Green MS. Association of the Ottawa Aggressive Protocol with rapid discharge of emergency department patients with recent-onset atrial fibrillation or flutter. CJEM. 2010 May;12(3):181-91.

Wednesday: What's the Diagnosis?

Thursday: #emconf - Acute SOB

Quick Review of Papillary Muscle Rupture:

-Timing: Usually happens a few days after MI (rarely > 14 days post MI) 
-Presentation: Patient uniformly presents in heart failure, with up to 60% in cardiogenic shock 
-Diagnosis: Transthoracic echo usually adequate but may need transesophageal 
-Treatment: – CT surgery emergently; intra-aortic balloon pump may help hemodynamics prior to surgery 

Friday: Critical Care - TEE in Cardiac Arrest

Using TEE in cardiac arrest offers some unique benefits:

• Evaluate quality of chest compressions
• Ability to cardiovert with probe in place
• Minimize time off the chest to assess for cardiac function

Saturday - Board Review - DKA

How well do you know your potassium and DKA?