Hemoptysis

Nov 20, 2017 by in Uncategorized Comments Off on Hemoptysis

Hemoptysis Hematemesis History History  Absence of nausea/vomiting  Nausea/vomiting  Associated hypoxia  Hypoxia less common  Lung disease  Gastrointestinal and/or hepatic disease Sputum appearance Sputum appearance  Frothy or clotted  Coffee ground  Bright red…

read more

Dyspnea

Nov 20, 2017 by in Uncategorized Comments Off on Dyspnea

Severity FEV1 (% predicted) Mild ≥80 % Moderate 50–79 % Severe 30–49 % Very severe <30 % COPD exacerbations are characterized by an acute change in sputum character or an…

read more

Gastroesophageal Reflux Disease (GERD)

Nov 20, 2017 by in Uncategorized Comments Off on Gastroesophageal Reflux Disease (GERD)

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_11 11. Gastroesophageal Reflux Disease (GERD) Tara Dyson1   (1) Division of Gastroenterology, Department of Internal Medicine, 100277, Gainesville, FL 32610-0277, USA    …

read more

Hypertension

Nov 20, 2017 by in Uncategorized Comments Off on Hypertension

Modification Recommendation Approximate systolic BP reduction, range Weight reduction Maintain normal body weight (BMI, 18.5–24.9 kg/m2) 5–20 mmHg per 10 kg weight loss Adopt dietary approaches to stop hypertension Consume…

read more

Noncardiac Chest Pain (Including Chest Wall Pain)

Nov 20, 2017 by in Uncategorized Comments Off on Noncardiac Chest Pain (Including Chest Wall Pain)

Examples of NSAIDs Aspirin Ibuprofen Naproxen Ketorolac Meloxicam Indomethacin Ketoprofen Pitfalls 1. Prescribing to patients at risk for bleeding   2. Prescribing to patients with kidney disease   3. Prescribing…

read more

Paediatric Emergencies

Nov 20, 2017 by in Uncategorized Comments Off on Paediatric Emergencies

(1) Royal Free NHS Foundation Trust, London, UK   Assessment of child with fever Measurement of temperature: Age <4 weeks: electronic thermometer in axilla 4 weeks to 5 years: electronic…

read more

Infectious Disease Emergencies

Nov 20, 2017 by in Uncategorized Comments Off on Infectious Disease Emergencies

(1) Royal Free NHS Foundation Trust, London, UK   Sepsis definitions SYSTEMIC INFLAMMATORY RESPONSE SYNDROME CRITERIA: Requires two or more of the following: Temperature >38 C or <36 degrees Centigrade…

read more

Haematological and Oncological Emergencies

Nov 20, 2017 by in Uncategorized Comments Off on Haematological and Oncological Emergencies

(1) Royal Free NHS Foundation Trust, London, UK   Causes of neutropenia (total neutrophil count <1 × 10/L regardless of total white cell count) Infections: bacterial; viral; rickettsial; parasitic Drugs:…

read more

Renal and Urological Emergencies

Nov 20, 2017 by in Uncategorized Comments Off on Renal and Urological Emergencies

(1) Royal Free NHS Foundation Trust, London, UK   Causes of red urine Macroscopic haematuria Haemoglobinuria (haemolysis) Myoglobinuria Drugs: rifampicin; metronidazole; warfarin; nitrofurantoin Menstruation Food: beetroot (anthrocyanin); red cabbage; blackberries;…

read more

Gastrointestinal Emergencies

Nov 20, 2017 by in Uncategorized Comments Off on Gastrointestinal Emergencies

(1) Royal Free NHS Foundation Trust, London, UK   Causes of dysphagia Oropharyngeal Neurological motility disorder: stroke; movement disorders (Parkinson’s disease, progressive supranuclear palsy); amyotrophic lateral sclerosis; multiple sclerosis; bulbar…

read more
Get Clinical Tree app for offline access