Endocrinology
Endocrinology 4.1 Acute Adrenal Insufficiency Ann Clin Biochem 1999;36:151; Nejm 2003;348:727 Cause: Primary adrenal insufficiency (Addison’s disease) can be atrophic in nature as seen in idiopathic or autoimmune with suppressor…
Dental Conditions
Dental Conditions 3.1 Infection Compendium 1990;11:492,494,498 Cause: Poor dental hygiene leading to dental and gum disease, or as manifestations of systemic disease as seen in diabetes mellitus, rheumatologic disorders, hematologic…
Cardiovascular
Cardiovascular 2.1 Acute Coronary Syndrome Int J Cardiol 1995;49:S3; J Thromb Thrombolysis 1999;8:113; Ann EM 2001;38:229 Events that have sudden onset and could lead to significant morbidity or mortality if…
Lower Extremity Landmarks
Lower Extremity Landmarks DERMATOMES MYOTOMES OSTEOTOMES SCIATIC NERVE Inferior division of lumbar L4, L5 and sacral S1, S2, S3 nerves. Emerges from the greater sciatic foramen. Lies below the piriformis…
Upper Extremity Landmarks
Upper Extremity Landmarks DERMATOMES MYOTOMES OSTEOTOMES BRACHIAL PLEXUS BLOCK Formed from anterior primary rami of C5-T1. 5 roots, 3 trunks, 3 cords, 5 nerves. 3 trunks: upper (C5, C6), middle…
Acid-Base Disorders
Acid-Base Disorders KEY POINTS 1 Viewed in isolation, most ABGs defy unique interpretation for cause or mandate immediate action; each blood gas must be evaluated in light of clinical information…
Burns and Inhalational Injury
Burns and Inhalational Injury KEY POINTS 1 For burn victims, the keystones of initial therapy are large-volume crystalloid resuscitation and maintenance of the airway. Commonly, isotonic crystalloid (4 mL/kg/% body…
Gastrointestinal Bleeding
Gastrointestinal Bleeding KEY POINTS 1 Prophylactic treatments can reduce the incidence of upper gastrointestinal bleeding in patients at high risk (e.g., chronic mechanical ventilation, coagulation disorders). Prophylactic methods include acid…
Chest Trauma
Chest Trauma Coauthored with David Dries, MD KEY POINTS 1 Victims of chest trauma who survive to hospital admission have a generally good prognosis and generally do not require thoracotomy;…
