Week in Review Feb 12th - 17th
Remeber to consider contraindications to primary closure, antibiotics, tetaus and rabines.
Look at the great infographic for a quick review!
Seen in patients with incomplete (usually) spinal cord injury at T6 or above
Present with distended bladder/bowel, HTN, blurry vision, sweating, flushed skin.
Tx = Decompress bowel and bladder, consider antihypertensive medications.
Great review of important HPI elements as well as Life Threatening Diagnosises:
Toxic MegaColon/ Obstruction, Perforation, Abscess, hemorrhage
Be sure to check: SBC, BMP, LFT, Lipase, ESR/CRP
Remeber to check Cdiff before starting steroids
Cirrhosis can have a complex balance of hemostasis, the elevated INR does not always indicate low risk for thrombotic complications and are often at high risk for such complications while also being at a risk for bleeding because of thrombocytopenia.
Transfuse platlets to keep >100k for serious bleeding
So you made the diagnosis of thyroid storm, but which order to you start the medications?