I: CARDIOVASCULAR

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on I: CARDIOVASCULAR

Adapted from: Wang K, Asinger RW, Marriott H. ST-segment elevation in conditions other than acute myocardial infarction. N Eng J Med. 2003;349:2128–2135. CHEST PAIN Approach Obtain & review an ECG…

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XIV: PEDIATRICS

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XIV: PEDIATRICS

APPENDICITIS Definition •  Inflammation of the appendix History •  Diffuse/periumbilical pain → localizing to RLQ, anorexia, nausea, vomiting, irritability (may be the only sx in age <2), fever Physical Findings…

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XVIII: TRAUMA

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XVIII: TRAUMA

HEAD TRAUMA Background •  Leading cause of traumatic death in pts <25 •  80% mild (GCS 14–15), 10% mod (GCS 9–13), 10% severe (GCS <9) injuries •  CPP = MAP…

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XVI: TOXICOLOGY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XVI: TOXICOLOGY

History •  Timing, quantity of ingestion/exposure, access to household chemicals/other meds, coingestions, enteric-coated/extended-release substances Physical Exam •  VS, pupils, skin, neuro findings (AMS, nystagmus, myoclonus, tremor), peristalsis, smell Evaluation •…

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X: ENVIRONMENTAL

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on X: ENVIRONMENTAL

History •  Excessive fluid loss (V/D, sweating, polyuria, diuretic/laxatives, bowel regimen), inadequate intake (debilitated, institutionalized, NM d/o, H&N pathology), altered thirst mechanism (intoxication, systemic illness, malignancy, antipsychotic use) Findings •…

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IV: INFECTIOUS DISEASE

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on IV: INFECTIOUS DISEASE

ENDOCARDITIS (Arch Intern Med 2009;169(5):463) History •  RFs: IVDU, congenital or acquired valvular dz, prosthetic valves, structural heart dz, HD, indwelling venous catheters, cardiac surgery, bacteremia, chronic alcoholism, previous endocarditis…

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V: NEUROLOGY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on V: NEUROLOGY

Delirium Definition •  Acute state of temporary or fluctuating disturbance of consciousness (eg, impaired cognition, perception disturbances, reduced attention, hypo- or hyperactivity) that is caused by an organic medical condition…

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III: GASTROINTESTINAL

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on III: GASTROINTESTINAL

RIGHT UPPER QUADRANT PAIN Cholelithiasis Presentation •  Acute, severe, intermittent RUQ pain, +N/V, a/w fatty meals •  In biliary colic, sxs generally resolve completely in b/w episodes •  Mild RUQ…

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XIII: OTOLARYNGOLOGY/DENTAL/OPHTHALMOLOGY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XIII: OTOLARYNGOLOGY/DENTAL/OPHTHALMOLOGY

Otitis Externa (Swimmer’s Ear) Definition •  Infection (Pseudomonas, S. aureus) of the outer ear due to breakdown of natural barriers History •  Summer, water exposure, cotton swab trauma, hearing aids,…

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