A 45 yo female presents to the ED with abdominal pain.
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Submitted by Loran Hatch, DO
Treatment of diabetic ketoacidosis in the emergency department includes aggressive volume repletion and administration of insulin, however it is also extremely important to address electrolyte abnormalities…
Read moreSubmitted by Louis Argentine MD
Need a refersher for the FDP vs. FDS? Read on for a quick review.
Read moreSubmitted by Loran Hatch, DO
A 30 year old mechanic presents for a right lower leg injury. He was working on his car when it fell on his right leg. Urinanalysis reveals dark urine with a dipstick positive for large mount of blood. Serum CK is 28,000 units/L. The primary treatment modality is:
Read moreSubmitted by John Cafaro MD
Recommend against reversal of LMWH in patients receiving prophylactic dosing of LMWH.
Low quality of evidence for the use of FFP or PCC to reverse LMWH.
Protamine:
Read moreSubmitted by Reid Phillips MD
A 67 yo M w/ a PMHx of IVDU presents to the ED w/ chest pain and fever of 101.5. His initial HR is 135. A CXR is obtained and he is started on broad spectrum antibiotics.
Read moreSubmitted by Katie Selman, MD
Gallstones are the leading casue of acute pancreatitis. Read below for a review of the OTHER causes (both common and uncommon) of acute pancreatitis.
Read moreSubmitted by Catherine Ginty, MD
A 52 year old male with history of asplenia after a car accident presents with a fever for 8 days. Tmax is 101.8. Denies any other symptoms. Denies rash. Reports he walks every morning through a path in the woods behind his house. Denies recent travel, animal exposure, sexual history.
Read moreSubmitted by John Cafaro MD
Althought it's starting to cool off in the Norhteast, heat stroke is a big deal in some places...Read on for some pearls to recognize and manage heat stroke.
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Submitted by Kim Chavez, MD
Consider tick borne illness when:
- Influenza-like illness presentations, especially during the summer months.
- Fever of unknown origin
- When viral meningitis is on your differential diagnosis.
Babesiosis:
Read moreSubmitted by John Cafaro MD