Take Home Points End stage liver disease patients have fragile baseline physiology. Minor insults can have profound effects Always start with the basics – large bore IV lines SBP give 3rd generation cephalosporin + albumin in severe disease Upper ...
REBEL Core Cast 21.0 – ECG in Syncope Click here for Direct Download of Podcast
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 ...
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 ...
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 ...
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 ...
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 ...
Take Home Points There is no real distinction between syncope and near syncope. Older folk with near syncope or syncope should be treated the same. Patient with high risk features its reasonable to admit but if they’re low risk, well-appearing ...
Take Home Points on SVT Superficial venous thrombosis refers to a clot and inflammation in the larger, or “axial” veins of the lower extremities and superficial thrombophlebitis refers to clot and inflammation in the tributary veins of the lower extremities. ...
Take Home Points on Measles There is a resurgence of measles worldwide Incubation period is 10 – 14 days and patients are contagious 4 days before rash develops and up to 5 days after Suspect measles in any patient with ...
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