Nausea and vomiting has a HUGE differential diagnosis but usually ends up being simple gastritis in the end. This week we will discuss a basic approach, treatment protocol, as well as to help out your attending.
Don’t be scared of the inborn errors of metabolism and endocrinology. They are really quite simple to screen for. Focus less on knowing the details of each one, and more on the general concept of what byproducts are building up and what substance is missing.
Cyanosis, difficulty feeding, failure to thrive, and shock can all be the presenting symptom of a cardiac abnormality. We will briefly overview cyanotic heart lesions, ductal dependent lesions, and CHF today.
Physicians get concerned about 4 serious bacterial infections (SBIs) when a baby or young child comes in with fever or possible sepsis. UTI, bacteremia, meningitis, and pneumonia. Start those antibiotics early, especially if the child appears sick.
I just stumbled on a study by The Doctors Company, a big malpractice insurer, looking at 332 closed claims against ED physicians. MOST of these cases were from missed or delayed diagnosis, and statistically, it was TWELVE diagnoses that made up the majority of these. So, in the musical spirit of Christmas, my gift to […]
Performing an emergency delivery is very intimidating. The good news is that in most scenarios, as long as you don’t drop the baby, it should go very naturally. However, there are exceptions to this which we will cover today.
EM physicians are the masters of EKG interpretation. We will cover an organized EKG interpretation system today with an emphasis on identifying life threats, and this will act as the foundation for your EKG interpretation skills for the rest of your career.
Really sick kids and babies are some of the scariest and most difficult cases we get in Emergency Medicine. This week we’re going to start with the general approach to the less-sick pediatric patient. We will use this as the groundwork for future episodes.
One of the topics that we typically DONT study much in Emergency Medicine is tropical medicine, and specifically fever in returning travelers. The reason this is important, is because MALARIA is a huge life threat in this patient population that can be easily missed. It is very important to ask about recent travel and then […]
Diarrhea is almost always a benign complaint, especially in well appearing patients, with stable vitals, and a lack of red flags. This week we will cover those red flags as well as some basic treatments when a patient is complaining of bad diarrhea.