Dental Conditions

Jul 21, 2016 by in EMERGENCY MEDICINE Comments Off on Dental Conditions

Dental Conditions 3.1 Infection Compendium 1990;11:492,494,498 Cause: Poor dental hygiene leading to dental and gum disease, or as manifestations of systemic disease as seen in diabetes mellitus, rheumatologic disorders, hematologic…

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Cardiovascular

Jul 21, 2016 by in EMERGENCY MEDICINE Comments Off on Cardiovascular

Cardiovascular 2.1 Acute Coronary Syndrome Int J Cardiol 1995;49:S3; J Thromb Thrombolysis 1999;8:113; Ann EM 2001;38:229 Events that have sudden onset and could lead to significant morbidity or mortality if…

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Allergy

Jul 21, 2016 by in EMERGENCY MEDICINE Comments Off on Allergy

Allergy 1.1 Anaphylaxis Med Clin N Am 1992;76:841; Ann Allergy 1992;69:87 Cause: Aspiration, ingestion and/or parenteral use of drugs or other haptens including foreign antigens (insect stings), desensitization shots, semen,…

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Lower Extremity Landmarks

Jul 20, 2016 by in ANESTHESIA Comments Off on Lower Extremity Landmarks

Lower Extremity Landmarks DERMATOMES MYOTOMES OSTEOTOMES SCIATIC NERVE Inferior division of lumbar L4, L5 and sacral S1, S2, S3 nerves. Emerges from the greater sciatic foramen. Lies below the piriformis…

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Upper Extremity Landmarks

Jul 20, 2016 by in ANESTHESIA Comments Off on Upper Extremity Landmarks

Upper Extremity Landmarks DERMATOMES MYOTOMES OSTEOTOMES BRACHIAL PLEXUS BLOCK Formed from anterior primary rami of C5-T1. 5 roots, 3 trunks, 3 cords, 5 nerves. 3 trunks: upper (C5, C6), middle…

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Acid-Base Disorders

Jul 17, 2016 by in CRITICAL CARE Comments Off on Acid-Base Disorders

Acid-Base Disorders KEY POINTS 1 Viewed in isolation, most ABGs defy unique interpretation for cause or mandate immediate action; each blood gas must be evaluated in light of clinical information…

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Burns and Inhalational Injury

Jul 17, 2016 by in CRITICAL CARE Comments Off on Burns and Inhalational Injury

Burns and Inhalational Injury KEY POINTS 1 For burn victims, the keystones of initial therapy are large-volume crystalloid resuscitation and maintenance of the airway. Commonly, isotonic crystalloid (4 mL/kg/% body…

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Gastrointestinal Bleeding

Jul 17, 2016 by in CRITICAL CARE Comments Off on Gastrointestinal Bleeding

Gastrointestinal Bleeding KEY POINTS 1 Prophylactic treatments can reduce the incidence of upper gastrointestinal bleeding in patients at high risk (e.g., chronic mechanical ventilation, coagulation disorders). Prophylactic methods include acid…

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Chest Trauma

Jul 17, 2016 by in CRITICAL CARE Comments Off on Chest Trauma

Chest Trauma Coauthored with David Dries, MD KEY POINTS 1 Victims of chest trauma who survive to hospital admission have a generally good prognosis and generally do not require thoracotomy;…

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Acute Abdomen

Jul 17, 2016 by in CRITICAL CARE Comments Off on Acute Abdomen

Acute Abdomen KEY POINTS 1 Patients in the ICU rarely have typical presentations of acute abdominal conditions —low-grade fever, mild agitation, or tube-feeding intolerance may be the only clues. 2…

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