Author Archives: emlyceum

DKA, Questions

1. When you are suspicious for DKA do you get a VBG or an ABG? How good is a VBG for determining acid/base status? 2. Do you use serum or urine ketones to guide your diagnosis and treatment of DKA? … Continue reading

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Eye Emergencies, “Answers”

1.) Do you prescribe ophthalmic topical anesthetics to patients with corneal abrasions who complain of severe pain? Corneal abrasion is one of the most common acute eye complaints that presents to the ED, accounting for approximately 10% of eye related … Continue reading

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Eye Emergencies, Questions

1. Do you prescribe ophthalmic topical anesthetics to patients with corneal abrasions who complain of severe pain? 2. When do you schedule ophthalmology follow up for patients with corneal abrasions? 3. How soon after presentation do you have a patient … Continue reading

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Monoarticular Arthritis, “Answers”

1. When do you tap a painful swollen joint? When do you obtain imaging before arthrocentesis? Acute monoarticular arthritis is an inflammatory process involving a single joint that develops over a period of less than 2 weeks. The possible etiologies … Continue reading

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Monoarticular Arthritis, Questions

1.  When do you tap a painful, swollen joint? When do you obtain imaging before arthrocentesis? 2.  In a patient with monoarticular arthritis, do you send any serum labs such as WBC, ESR, or CRP? How do they guide your … Continue reading

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GI Imaging, “Answers”

1. When do you get abdominal plain films before CT in suspected SBO? 2. How do plain films guide your management in patients with suspected intraperitoneal free air? With advances in radiologic technology and the increased availability of CT, ultrasound, … Continue reading

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GI Imaging, Questions

Our second GI topic for April: 1. When do you get abdominal plain films before CT in suspected small bowel obstruction? 2. How do plain films guide your management in patients with suspected intraperitoneal free air? 3. When do you … Continue reading

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Upper GI Bleeding, “Answers”

1. Do you use a PPI infusion in patients with undifferentiated UGIB? Acute upper gastrointestinal hemorrhage (UGIB) is a potentially life threatening condition caused by a number of etiologies. It is defined as any lesion causing bleeding proximal to the … Continue reading

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Upper GI Bleeding, Questions

1. Do you use a proton pump inhibitor (PPI) infusion in patients with undifferentiated upper GI bleeding (UGIB)? 2. Do you use octreotide in patients with bleeding varices? 3. In which patients with UGIB do you place a nasogastric tube … Continue reading

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Abscess, “Answers”

1.) Do you routinely pack abscesses after I & D? If so, what is your endpoint (i.e., when do you stop re-packing, and when do you stop ED follow-up)? Incision and drainage remains the cornerstone of therapy for simple cutaneous … Continue reading

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