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Author Archives: emlyceum
Diarrhea, “Answers”
Acute gastrointestinal disorders are some of the most frequent problems evaluated by ED physicians. Complaints of diarrhea account for almost 5% of visits to the emergency departments (Bitterman, 1988). Although the disease entity is extremely prevalent and current evidence on the … Continue reading
Posted in Uncategorized
Tagged antibiotics, diarrhea, lomotil, loperamide, O&P, parasites, stool cultures
3 Comments
Diarrhea, Questions
1. When do you send stool cultures, stool ovum and parasites, and/or fecal WBC? How do you use the results in diagnosis and management? 2. When do you get bloodwork? When do you pursue imaging? 3. Which patients do you treat with antibiotics? 4. What other … Continue reading
Posted in antibiotics, diarrhea, lomotil, loperamide, parasites, pepto
2 Comments
Status Asthmaticus, “Answers”
1. When do you use NIPPV in status asthmaticus? The use of NIPPV (non-invasive positive pressure ventilation) for respiratory failure has been proven to be beneficial and widely accepted in practice for multiple indications including COPD exacerbations and pulmonary edema … Continue reading
Posted in Uncategorized
Tagged Asthma, bipap, epinephrine, ketamine, NIPPV, status asthmaticus, steroids
6 Comments
Status Asthmaticus, Questions
1. When do you use non-invasive positive pressure ventilation (NPPV) in status asthmaticus? 2. Do you start inhaled corticosteroids on asthma patients who are going to be discharged from the ED? 3. When, if ever, do you use ketamine for induction, or for … Continue reading
Posted in Uncategorized
Tagged Asthma, bipap, epinephrine, ketamine, NPPV, status asthmaticus, steroids
7 Comments
Syncope, Answers
In which patients with syncope do you get a NCHCT? Syncope is defined as a transient loss of consciousness and postural tone. It has a rapid onset, short duration, spontaneous recovery and is due to transient global cerebral hypoperfusion. It … Continue reading
Posted in Uncategorized
1 Comment
Syncope, Questions
1. In which patients presenting with syncope do you get a Non-Contrast Head CT (NCHCT)? 2. In which patients presenting with syncope do you get a troponin? 3. Do you get orthostatic vital sign measurements in patients presenting with syncope? How do you … Continue reading
Spinal Cord Injury, “Answers”
1. What imaging do you use for patients with possible acute, traumatic spinal cord injury? Patients who can be cleared using the Nexus or Canadian C-spine criteria should be cleared clinically. However, those with moderate to high risk of a … Continue reading
Posted in Uncategorized
Tagged canadian, collar, compression, neurogenic shock, nexus, spinal cord injury, vertebral
7 Comments
Spinal Cord Injury, Questions
1. What imaging do you use for patients with possible acute, traumatic spinal cord injury? 2. How do you treat neurogenic shock? 3. What is your management and disposition for elderly patients with vertebral compression fractures? 4. How do you … Continue reading
Posted in Uncategorized
Tagged canadian, collar, neurogenic shock, nexus, spina cord injury, vertebral compression
2 Comments
Infectious Diseases, “Answers”
1. Which patients with neutropenic fever do you consider for outpatient management? Neutropenic fever is a common presentation to the Emergency Department, especially in tertiary hospitals where many oncology patients are undergoing chemotherapy. According to the Infectious Disease Society of … Continue reading
Posted in Uncategorized
Tagged Infectious Diseases, Influenza, Neutropenic Fever, Oseltamivir, Pneumonia
4 Comments
Infectious Diseases, Questions
1. Which patients with neutropenic fever do you consider for outpatient management? 2. Which patients with community-acquired pneumonia do you admit? 3. Which patients with influenza do you treat with oseltamivir? 4. Which adult patients getting worked up for a … Continue reading
Posted in Uncategorized
Tagged Infectious Diseases, Influenza, Neutropenic Fever, Oseltamivir, Pneumonia
1 Comment
EM Lyceum 