Internal Medicine

#EMconf - COPD management pearls!

You are caring for a sick patient with an acute COPD exacerbation. What O2 sat should you target? What meds should you give? If you have to intubate, what are the issues you'll have to deal with? This week we glean some valuable management pearls for the management acute COPD exacerbations from this month's Internal Medicine module at Cooper.

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Back to Basics: Chondrocalcinosis & Pseudogout

Chondrocalcinosis

Ever notice calcium deposition on an xray and wondered what it meant? Ever read a radiology report that indicated chondrocalcinosis? Check out below for a few pearls related to chondrocalcinosis & pseudogout.

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The Basics of Bell's

Always looking up the clinical findings of a central vs. peripheral CN VII palsy? Wondering who to treat and who not to treat? Well...this post is for you! Click to read more about the basics of a Bell's Palsy!

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"HUGS" as a Novel Treatment for Gastroparesis

It’s the end of a long night shift and you are about to see your next patient triaged as “known history of gastroparesis, presenting with intractable nausea and vomiting.” You know you are in for a rough battle ahead without any good pharmacological choices for treatment.  Enter HALOPERIDOL.

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Intracellular Explosions: TUMOR LYSIS SYNDROME

Oncological patients are at risk of developing several complications including life threatening infections. We often first worry about neutropenic fever in these patients. However, there are other oncological emergencies with which the emergency medicine physician needs to be familiar.

 

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Chvostek’s Sign + Hypocalcemia

Chvostek’s sign is momentary contraction of the nose and/or lips in response to tapping the facial nerve at the angle of the jaw.  Associated with hypocalcemia, it has been found to be poorly sensitive and specific.  It is seen in 10-25% of healthy individuals with normal calcium levels, whereas approximately one third of patients with hypocalcemia will not demonstrate this sign.

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