Keep Patients with Dural Tears Flat for 24–48 Hours
Keep Patients with Dural Tears Flat for 24–48 Hours Jayme E. Locke MD Dural tear is a known complication of spinal surgeries, such as laminectomies, spinal fusions, and disc excisions….
Be Alert for New-Onset Cauda Equina Syndrome in Patients with Sacral or Spinal Fractures or Surgery and Obtain Emergent Neurosurgical Consultation if Suspected
Be Alert for New-Onset Cauda Equina Syndrome in Patients with Sacral or Spinal Fractures or Surgery and Obtain Emergent Neurosurgical Consultation if Suspected Michael J. Dorsi MD Low back pain…
Consider Hyperchloremic Metabolic Acidosis to be a Renal Tubular Acidosis Until Proven Otherwise if Obvious Sources of Bicarbonate Losses Like Diarrhea, Urinary Diversions, and the Administration of Chloride are not Present
Consider Hyperchloremic Metabolic Acidosis to be a Renal Tubular Acidosis Until Proven Otherwise if Obvious Sources of Bicarbonate Losses Like Diarrhea, Urinary Diversions, and the Administration of Chloride are not…
Consider Excess Chloride as a Cause of an Unexplained Non-Anion-Gap Metabolic Acidosis
Consider Excess Chloride as a Cause of an Unexplained Non-Anion-Gap Metabolic Acidosis Anthony D. Slonim MD, DrPH Metabolic acidosis is traditionally classified into an elevated anion-gap metabolic acidosis or a…
Do Not Replete Calcium in Rhabdomyolysis Unless a Patient is in Tetany
Do Not Replete Calcium in Rhabdomyolysis Unless a Patient is in Tetany Anthony D. Slonim MD, DrPH Rhabdomyolysis is a condition that is associated with the destruction of skeletal muscle….
Keep the Serum Potassium at High or Normal Levels When Attempting to Correct a Metabolic Alkalosis
Keep the Serum Potassium at High or Normal Levels When Attempting to Correct a Metabolic Alkalosis Eric S. Weiss MD Case A 45-year-old attorney travels to the Caribbean islands for…
Consider Electrolyte Disturbances When There is a Change of Mental Status
Consider Electrolyte Disturbances When There is a Change of Mental Status Nirav G. Shah MD Toxic-metabolic encephalopathy results in a change of mental status and is a common diagnosis in…
Check Postoperative and Serial Serum Levels of Phosphorus and Aggressively Replete
Check Postoperative and Serial Serum Levels of Phosphorus and Aggressively Replete Robert K. Michaels MD, MPH Phosphate (PO4) is a trivalent anion that is most notable for the energy-rich bonds…
Do not Replete Calcium in the Setting of High Phosphorus or Phosphorus in the Setting of High Calcium
Do not Replete Calcium in the Setting of High Phosphorus or Phosphorus in the Setting of High Calcium Praveen Kalra MD Mehmet S. Ozcan MD Calciphylaxis is an unusual condition…
Remember that Uremia Alone Rarely Causes An Anion Gap to be Greater Than
Remember that Uremia Alone Rarely Causes An Anion Gap to be Greater Than Laith R. Altaweel MD The serum anion gap (AG) is an important tool in assessing the acid-base…
