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LEadership Conference - Dr. Robertson
1. Emergency medicine is an exciting but still profoundly challenging and taxing field. 2. Identifying core strengths and weakness is critical to personal growth, longevity and overall satisfaction in...
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High Output Heart Failure - Dr. Dozois
Remember to consider high-output heart failure in patients who present with undifferentiated shock.Florid heart failure may be the initial presentation of certain rare causes of AV Fistulae. Often...
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Case Conference - Dr. Lounsbury
• Cerebral venous thrombosis is a rare and difficult to diagnose cause of headaches• Risk factors include prothrombotic states, pregnancy, infection, or inflammatory conditions• Diagnose with CTV or...
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Fever & Headache in Peds ED - Dr. Lawson
The incidence of bacterial meningitis has decreased significantly since the development of the Hib, PCV, and meningococcal vaccines. This means that it's important to remember there are other causes...
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High Risk EM - Dr.
1. Lawsuits are inevitable, but excellent documentation can make the process much easier for you.2. One of the first steps is treating people well, large percentage of plantiffs want to teach...
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Carolinas Case COnference - Dr. Lawson
Case 1:Deterioration post intubation: DOPES- Dislodged ETT- Obstruction- Pneumothorax- Equipment failure- Stacked breathsConsider prone positioning for patients with severe ARDS and refractory...
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Animal-Borne Illness - Dr. Cox
Cat Scratch Disease:Clinical diagnosis!Think Lymphadenopathy… then fever and constitutional symptomsUsually self-limited, can treat with azithromycin...
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Toxin INduced Hypoglycemia - Dr. Alwasiyah
Definition of hypoglycemia:Organ dysfunction in the setting of inadequate glucose concentrationsWhipple’s Triad:Symptoms consistent with hypoglycemiaLow serum glucoseImprovement of symptoms after...
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Carolinas Case COnference - Dr. Mollo
High ETOH concentration is protective against methanol and ethylene glycol (metabolized slower as ethanol is metabolized first)Ethylene Glycol- the metabolites, not ethylene glycol, cause acidosis and...
View ArticlePediatric Abdominal Pain - Dr. Weihmiller
- Always think inside AND outside the abdomen when evaluating children for abdominal pain- Obstruction in children does not always produce distension or peritoneal signs- To accurately evaluate for...
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Case Conference - Dr. Mollo
-- Despite your location in the ER, treat all 'in extremis' patients with the same approach:ABCs, reversible causes (glucose, narcan, epi), resuscitate patient and then move to higher care area--...
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Carolinas Case COnference - Dr. Lawson
Lung down >72 hrs → Re-expansion Pulm Edema possibleJammed finger → Test central slip tendon functionCentral slip tendon rupture → Extension splint until ORCongenital Long QT and Hypokalemia →...
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Viral Exanthems - Dr. Zeller
- Measles - 3C's, cephalocaudal spread, confluencing rash, koplik spots- Rubella - Cephalocaudal spread, lymphadenopathy, forscheimer spots- Erythema infectiosum - parvo B19, slapped cheek rash, lacy...
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Exanthems - Dr. Zeller
Key history & PE components for diagnosing viral exanthems:- Hx: Where did it start, & where has it spread? Pruritic? Associated symptoms? - PE: Appearance? Confluence? Palms &...
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Case COnference - Dr. Lounsbury
• Myxedema coma can closely mimic cardiogenic shock• TSH is an inexpensive screening tool to rule out myxedema coma• Management of myxedema coma includes airway management, IV levothyroxine, IV...
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Tox & Dermatology - Dr. Kopec
Warfarin can cause two dermatologic syndromes: Warfarin Skin Necrosis (thrombotic) and Purple Toe Syndrome (embolic)Cutaneous Anthrax starts as a small, painless papule that transitions to a vesicle...
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Domestic Violence - Dr. Pelucio
1. Intimate Partner Violence/Domestic Violence is the leading cause of injury in women aged 15-44.2. 1 in 4 women will be victims of intimate partner violence.3. Intimate Partner Violence is about...
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Drug-Seeking Behavior - Dr. Pecevich
* Our lizard brain -- addiction affects the most primitive structures using the mesolimbic dopaminergic system* Try to hate the drugs, not the patient -- animal studies have repetitively shown that...
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Devastating Neurologic Emergencies - Dr. Asimos
When documenting a neuro exam, document what you did and reserve deductive reasoning for medical decision makingUnaltered documentation templates that contradict important features of the history,...
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Scary Neonate Case COnference - Dr. Bryant
- Neonate in respiratory distress: remember NRP!- Neonate in respiratory distress with true unilateral absent breath sounds = Congenital Diaphragmatic Hernia??!!-> confirm with CXRCongenital...
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