Gene Fiback: A 57-Year-Old Accountant With Severe Episodic Unilateral Retro-orbital Headaches With Associated Neurologic Symptoms

Mar 21, 2022 by in PAIN MEDICINE Comments Off on Gene Fiback: A 57-Year-Old Accountant With Severe Episodic Unilateral Retro-orbital Headaches With Associated Neurologic Symptoms

Learning Objectives • Learn the common types of headache. • Understand the difference between primary and secondary headaches. • Develop an understanding of clinical presentation of specific headache types. •…

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14 Emergency Medicine

Dec 11, 2021 by in EMERGENCY MEDICINE Comments Off on 14 Emergency Medicine

“Before running the code, check your own pulse” – Dr Paul L. Bernstein, Rochester, NY 14.1 Basic Life Support When a person is found unresponsive: aIn patients found unresponsive with…

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Collection and handling of samples: effects on blood gases, Na, K, ionized Ca, Mg, lactate, and phosphate analyses

Nov 21, 2021 by in CRITICAL CARE Comments Off on Collection and handling of samples: effects on blood gases, Na, K, ionized Ca, Mg, lactate, and phosphate analyses

Sources of preanalytical errors in blood gas and electrolyte testing Introduction There are numerous sources of preanalytical errors in laboratory testing. Among these are the following: • Wrong test ordered…

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Quality control in blood gas and critical care testing

Nov 21, 2021 by in CRITICAL CARE Comments Off on Quality control in blood gas and critical care testing

Routine daily quality control on blood gas instruments Most current blood gas/electrolyte/metabolite analyzers have onboard internal quality control (QC) systems that automatically monitor the stability and performance of reagents, electrodes,…

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Lactate physiology and diagnostic evaluation

Nov 21, 2021 by in CRITICAL CARE Comments Off on Lactate physiology and diagnostic evaluation

Introduction By 1900, many physicians had noted metabolic acidosis in patients who were critically ill. In 1925, Clausen identified increased lactate along with acidosis in these patients, which gave rise…

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