A Week in Review: Aug 5th - 11th
Classic Pentad =
Symptoms = Nerve compressoin (tingling, numbness, weakness, pain) + venous symptoms (swelling, edema) rarely arterial symtoms
Work up = CXR for bony abnormality around 1st rib. Duplex US for narrowing / thrombus formation
Tx = Physical therapy, Anticoagulation if thrombus present
Critical apprasial of the literature bewteen: Find out is US ready for Prime Time?
Jones BP, Tay ET, Elikashvili I, et al. Feasibility and Safety of Substituting Lung Ultrasonography for Chest Radiography When Diagnosing Pneumonia in Children: A Randomized Controlled Trial. Chest. 2016;150(1):131-8.
Yilmaz HL, Özkaya AK, Sarı gökay S, Tolu kendir Ö, Şenol H. Point-of-care lung ultrasound in children with community acquired pneumonia. Am J Emerg Med. 2017;35(7):964-969.
Seizure in a patient with ESRD with progressive confusion and AMS
Time for Benzos or what would be better?