Archive

Author: Salim Rezaie

Urinary Retention: Rapid Drainage or Gradual Drainage to Avoid Complications?

Background: The treatment of urinary retention is pretty straightforward; place either a Foley catheter or suprapubic catheter to decompress the bladder.  What is less clear, and more often debated, is if we need to clamp the catheter after 200 – …

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Renal and Genitourinary

Episode 35 – Non Operative Treatment of Appendicitis (NOTA)

Background: Historically the treatment of uncomplicated appendicitis has been appendectomy. The first appendectomy performed dates back to 1735 done by Claudius Amyand. Appendectomy has been the standard treatment for acute appendicitis every since Charles McBurney described it in 1889. However, studies have shown …

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Infectious Disease

Diabetic Gastroparesis Needs HUGS

Background: Anyone practicing in emergency medicine has taken care of a patient with diabetic gastroparesis.  Although, it is not a sexy topic to discuss, nor a disease process associated with significant mortality, it is associated with decreased quality of life, …

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Endocrine, Metabolic, Fluid, and Electrolytes

Is Fever the New Hotness in Sepsis?

Background: With the introduction of sepsis 3.0, came the quick sepsis related organ failure assessment (qSOFA) score. The purpose of this score is supposed to be a bedside tool to help predict which patients are at the greatest risk of …

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Infectious Disease

The AMACING Trial: Prehydration to Prevent Contrast Induced Nephropathy (CIN)?

Background: In patients with compromised renal function, the use of intravascular iodinated contrast material is generally not given to avoid contrast induced nephropathy (CIN). Currently, there is no treatment for contrast-induced nephropathy, therefore the focus has been on prevention. Guidelines …

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Allergy and ImmunologyRenal and Genitourinary

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