Critically Appraised Topic: Can TAPSE diagnose pulmonary embolism?
Editor:
Dr. Knox, M.D., discusses the literature on TAPSE to diagnose pulmonary embolism.
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John Cafaro MD
Board Review: Anti-epileptics
Editor:
Which anti-epileptic is most likely to cause hyponatremia?
A. Carbamazepine
B. Dilantin
C. Valproic Acid
D. Lacosamide
E. Levetiracetam
Answer is A - Carbamazepine or Tegretol
Bonus Question: What is the first line management in Trigeminal Neuralgia?
Answer: Carbamazepine or Tegretol
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Board Review: The Acute Scrotum
Editor:
27 year old male presents with acute onset of left testicular pain. Cremasteric reflex is normal. Some tenderness and a tranverse lie is noted. What is the most likely diagnosis?
A. Testicular Torsion
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Board Review: Environmental
Editor:
This week's question.
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#EMConf: Marine Envenomations
Editor:
Dr. Tom discusses marine envenomations.
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Board Review: Drowning
Editor:
A 2 year old boy is brought to the Emergency Department after a drowning event. Bystanders noted the child was underwater for 1 minute but was quickly pulled from the bottom of the pool, he coughed and vomited. On arrival, he is aware and alert and behaving appropriately per parents. His GCS is 15. On examination, he has a heart rate of 110, respiratory rate of 30 breaths/minute SaO2 of 98% on room air. His lungs are clear. What is the next step in management?
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MedMalMonthly: Discharge Instructions
Editor:
One of the best risk management strategies is clear discharge instructions.
- Estimated that half of lawsuits in EM are related in someway to discharge planning.
Instructions should be time specific and action specific and include what to return to the ER for.
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Board Review: Dental Trauma
Editor:
A 43 year old female is involved in an motor vehicle collision. She complains of facial and dental pain. Exam reveals a broken lateral incisor. A pink spot is noted on the surface of the tooth. What is the diagnosis?
A. Ellis Class I Dental Fracture
B. Ellis Class II Dental Fracture
C. Ellis Class III Dental Fracture
D. Dental Subluxation
Answer: C - Ellis Class III Dental Fracture
Anatomy:
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#EMConf: Does Ultrasound Improve Success Rate for Lumbar Punctures in Infants?
Editor:
The Bottom Line: These studies shown increase success r
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