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The Wheezer the Wasn't - Dr. S. C. Scarboro
1st step is considering the diagnosis – All that Wheezes is not asthmaAlternatives to reactive airway disease may be difficult to diagnosis; remember that vital signs are VITALMyocarditis and...
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Carolinas Case Conference - Dr. S. Pecevich
Pulmonary HypertensionWHO classifies 5 types of Pulmonary Hypertension:Pulmonary Arterial HypertensionLeft Heart FailureCor PulmonaleChronic Embolic DiseaseMiscellaneous (Sarcoid, etc)Generally, Class...
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Bioterrorism - Dr. K. Kopec
It is not a question of if bioterrorism will occur, it is a matter of when and where.Bioterrorism is the intentional or threatened use of biological agents to care fear or actual disease or death upon...
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Carolinas Case Conference - Dr. J. Raper
AppendicitisOverview:Usually the result of obstruction of the lumen of the appendix which results in bacterial overgrowth and increased pressure, ultimately leading to perforationLuminal...
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Schizophrenia & Its ED Presentation - Dr. K. Roedershimer
Safety for you, staff and the patient is priority on initial evaluationDecide whether psychosis is new in onsetDecide whether it is related to a medical illness or psych related using; head to toe...
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Rheumatic Fever - Dr. S. Zeller
Treating strep throat with antibiotics is aimed at preventing Acute Rheumatic Fever (ARF)Diagnose ARF using Revised Jones Criteria - which includes evidence of a strep infection + either 2 major or 1...
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Wide Complex Tachycardia in the ED - Dr. L. Littmann
General recommendationsWhen the heart rate is fast and the QRS complexes are wide, don’t fall into the trap of trying to define the QRS morphology before determining what the rhythm isEstablish the...
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Concussions - Dr. S. Fling
Definition: Trauma-induced alteration in mental status with or without loss of consciousnessConcussions occur as a result of neurometabolic destruction at the cellular rather than structural level,...
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Avoiding Risk in Neurovascular Emergencies - Dr. A. Asimos
The “Blood Can Be Very, Very Bad” mnemonic should be utilized to systematically review any brain CT (Blood, Cisterns, Brain, Ventricles, Vessels, Bone).The reflex exam is an essential part of the...
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Sickle Cell Anemia Related Emergencies
Vaso-Occlusive CrisesVaso-occlusive episodes are from tissue ischemia and infarction from intravascular sicklingBones, soft tissue, viscera, and CNS can all be affected Pain CrisesUsually classic in...
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Transgendered Patients in the ED - Dr. A. Dozois
•For any marginalized population – up your communication game.•Avoid misgendering – best practice is to ask for preferred pronouns•Gender-affirming genital surgery is uncommon, but can have important...
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Carolinas Case Conference - Dr. S. Pecevich
Takotsubo CardiomyopathyTakotsubo cardiomyopathy: middle to older aged adults with a recent physical or emotional stressor, more common in women, usually patients do well but approximately 10% may...
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High Risk ACS without diagnostic ST-Segment Elevation - Dr. L. Littmann
Posterolateral MIAcute thrombotic LCX occlusion – it is a STEMIDiagnostic criteriapresentation with acute chest painST depression in the anterior chest leads which may be due to anterior ischemia,...
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Vitamin Deficiencies - Dr. C. Zauner
-Overall relatively uncommon in the US, but the ED population is particularly high risk-More common in the extremes of age, the medicated, and the chronic alcohol abusers Wernicke...
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Purple Legs! Henoch-Schönlein purpura - Dr. J. Simonis
Henoch-Schönlein purpura Henoch-Schönlein purpura = IgA Vasculitis (IgAV)Disease process is mostly seen in pediatric populationsTetrad1. Palpable purpura WITHOUT thrombocytopenia or coagulopathy2....
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NosEmergencies - Dr. M. Zeller
EpistaxisEpistaxis is classified as either anterior or posterior.Anterior epistaxis usually originates in the vascular watershed area of the nasal septum known as Kiesselbach's plexus involving the...
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Cardiac causes of ST-Segment Elevation - Dr. L. Littmann
I. Myocardial injuryIn inferior MI, if ST elevation in lead III is greater than ST elevation in II: probable RCA occlusionhigher risk of bradycardia, AV block, atrial fibrillation and RV infarct...
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FUN WITH THE CODE CART - DR. RUSSELL TRIGONIS
As emergency physicians, it's our job to know our way around the code cart. In this installment of Carolinas Core Concepts, Dr. Trigonis breaks down the common meds, indications, and doses for what we...
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Avoiding Risk in Neurovascular Emergencies - Dr. A. Asimos
The “Blood Can Be Very, Very Bad” mnemonic should be utilized to systematically review any brain CT (Blood, Cisterns, Brain, Ventricles, Vessels, Bone).The reflex exam is an essential part of the...
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