Archive

Author: Anand Swaminathan

REBEL Core Cast 20.0 – Takotsubo’s Cardiomyopathy

Take Home Points   Stress cardiomyopathy looks like ACS/STEMI, with patient presenting with chest pain, dyspnea or maybe syncope. It looks like ACS and should be treated as such until you prove to yourself it’s not. Classic patient is an older ...

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Cardiovascular

REBEL Core Cast 19.0 – Acute Angle Closure Glaucoma

Take Home Points  Acute closed angle glaucoma is an ophthalmologic emergency that usually presents with sudden, painful, monocular vision loss. Physical exam will reveal conjunctival redness, corneal haziness or cloudiness due to edema and a pupil that is mid sized ...

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Head, Eye, Ear, Nose, and Throat

REBEL Core Cast 18.0 – DKA Tips and Tricks

Take Home Points When looking at pH and bicarb, the differences between VBG and ABG are miniscule. For DKA patients, stick with the VBG as is less painful and has fewer complications.  LR is probably a better fluid for the ...

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Core Cast 17.0 – Penetrating Neck Trauma

Take Home Points: Get definitive airway control when necessary Use modality you’re most comfortable with Hard signs –  pulsatile bleeding, bruit or thrill, expanding hematoma, airway compromise, massive hemoptysis (think airway injury), hematemesis (think esophageal injury), grossly injured trachea, neurologic ...

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Trauma

REBEL Core Cast 16.0 – Decompensated Hypothyroidism

Take Home Points Myxedema coma is severe, decompensated hypothyroidism with a very high mortality. Classic features include: decreased mental status, hypothermia, hypotension, bradycardia, hyponatremia, hypoglycemia, and hypoventilation Work up includes looking for and treating precipitating causes, most commonly infection as ...

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Endocrine, Metabolic, Fluid, and Electrolytes
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