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CMC Case COnference - Dr. West
Septic arthritis of the hip-Most common hematongenous spread- Up to 20% of patients with non-gonococcal septic arthritis will have 2 or more joints involved –> always do a full musculoskeletal...
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Esophageal Disasters (When it Really isn't the HEart) - Dr. Jannach
1. Remember esophageal etiologies as a cause of life threatening chest pain.2. Esophageal perforation is rare, deadly, and fast acting. Delay in diagnosis can cause doubling of mortality.3. Know best...
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Carolinas Case CONFEREnce - Dr. Beverly
Case 1:Excess iodine exposure can lead to the Jod Basedow effect:In presence of excess iodine, patient’s have autonomous production of thyroid hormone independent of normal regulatory functions...
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Sharpen YOur Calipers - Dr. Littmann
What is STEMI without STE?Patients presenting with acute chest pain may have clinical STEMI (acute total thrombotic occlusion of a large coronary artery) but no obvious ST-segment elevation in the...
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Ped EM Case COnference - Dr. Smith
1. Never get involved in a land war in Asia.2. Never go in against a Sicilian when death is on the line.3. Headache with an abnormal neuro exam is always worrisome... and always look at there...
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Pediatric Airway - Dr. Goode
• The pediatric airway has known unique challenges. Prepare yourself physically and cognitively!• Maintain spontaneous ventilation if there is any doubt about obtaining successful advanced airway.•...
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Fever of Unknown Origin- Dr. Young
#1. FUO is most commonly: 1) infection, 2) collagen vascular disorder, and 3) neoplasm#2. Always consider uncommon presentations of common diagnoses#3. Repeating the clinical exam is key a) think...
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VP Shunts - Dr. Angela Johnson
Be suspicious of shunt problems in …. Kids with shuntsHA, nausea, vomiting, irritability, behavior change are the weaker predictors you may miss if not vigilantMalfunction common early, but eventually...
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Carolinas Case Conference - Dr. Beverly
Trauma Resuscitation: Not ACLSTrauma resuscitation should focus on treating the underlying cause.Trauma patients need intubation, resuscitation with blood products and bilateral thoracotomies when in...
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Head Trauma - Dr. Gibbs
Case #1 (minor TBI + discussion about clinical decision rules [CDR]) – SLIDE #30· GCS 15 ≠ 14 ≠ 13· Know what each CDR gets you· Pick a rule and use it (ATLS prefers Canadian,...
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Critical Ischemia - Dr. Littmann
I. STEMI without STEDiscussed last monthST depression in anterior chest leads: consider posterolateral STEMI – electrodes to the backSubtle ST elevation in I, aVL, V2, ST depression in III (“South...
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Carolinas Case COnference - Dr. West
Psychiatric and medical co-morbiditiesSchizophrenia associated with 10-25 year decrease in life expectancyIncreased risk of medical conditions with psychiatric conditions related to compliance, access...
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Principles of Trauma Resuscitation - Dr. Gibbs
Prehospital hypotension is bad! Even if normal BP upon arrival.Vital signs are insensitive for traumatic shock.Develop a strategy for bedside testing.Be cautious with interventions.If you are unsure,...
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STDs in 2016 - Dr. Callahan
CDC 2015 recommendations include screening all patients age 13-64 for HIV, especially if they have another STD in opt out approach. We need to consider working towards doing this here at CMC and...
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Appendicitis - Dr. Craig
The classic presentation of appendicitis is seen ~50% of the time. There are several well-known atypical presentations that are commonly misdiagnosed at the initial encounter. The common theme is...
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Pediatric ECGs - Dr. Bryant
Normal Peds EKG VariationsRight heart dominance From infancy to adulthood ventricular dominance transitions from a relatively thicker RV in utero/infancy to thicker LV as adultsRight axis deviation...
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Pediatric Case COnference - Dr. Lawson
Abdominal Pain of Unusual CauseAbdominal pain in children is not always AGE, appendicitis, or UTI - keep your differential broad and use your exam skills (including GU and Tanner staging)"Smokiness"...
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Carolina Case CONFERENCE - Dr. West
Retained Foreign BodyX-ray or US if mechanism involves glass or is high riskConsider retained FB if wounds not healing wellUS will demonstrate wooden foreign bodiesCommon cause for EP to be sued...
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Carolinas Case Conference - Dr. Robertson
Post-Stroke Seizures:1. CVA is the most common cause of seziures and secondary epilepsy in adults.2. Blood in the brain is BAD for seizures (ICH and even more so with cerebral infarction with...
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