Category Archives: Uncategorized

Monoarticular Arthritis, Questions

Posted on May 12, 2014 by emlyceum

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”

Posted on May 7, 2014 by emlyceum

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

Posted on April 27, 2014 by emlyceum

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”

Posted on April 21, 2014 by emlyceum

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

Posted on April 9, 2014 by emlyceum

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”

Posted on March 31, 2014 by emlyceum

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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Abscess, Questions

Posted on March 10, 2014 by emlyceum

1.) Do you routinely pack abscesses after incision and drainage (I & D)? If so, what is your endpoint (i.e. when do you stop re-packing, and when do you stop ED follow-up)? 2.)  Do you ever use primary closure after … Continue reading →

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Intracranial Hemorrhage, “Answers”

Posted on March 5, 2014 by emlyceum

1. What immediate steps in management do you take when a patient with intracranial hemorrhage (ICH) exhibits signs of elevated intracranial pressure (ICP)? The immediate steps in the management of intracranial hypertension (ICP >20 mmHg for 5 minutes) in the … Continue reading →

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Intracranial Hemorrhage, Questions

Posted on February 3, 2014 by emlyceum

1. What immediate steps in management do you take when a patient with intracranial hemorrhage (ICH) exhibits signs of elevated intracranial pressure (ICP)? 2. In which patients with ICH do you push for invasive neurosurgical intervention? 3. What interventions do … Continue reading →

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Medication Comparisons, “Answers”

Posted on January 17, 2014 by emlyceum

  Check out our own Dr. Anand Swaminathan discussing this topic and more on ER Cast here! 1. Acetaminophen vs Ibuprofen. Which do you prefer for analgesia? For fever reduction? Pain and fever are among the most common chief complaints … Continue reading →

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