Author's posts
Oct 24
Septic Arthritis: An Overview Dr. Adeeb Zaer
Clinical Question: What would you do if you have a patient with cellulitis, but you are still worried about an underlying septic joint?? Clinical Vignette: 47 yo M with L knee pain, swelling, redness and immobile. PE: Fever, tachycardia, and a swollen L knee Phys Ex: Clinically cannot move the joint Source Staph is most …
Sep 19
Dr. Adeeb Zaer Hyponatremia: An Overview
If in extremis: Symptoms: Seizures, AMS, brain herniation, cerebral edema Treatment: 100cc 3% hypertonic saline over 20 minutes – reevaluate and repeat x 3 if necessary until neurologic signs are gone How to evaluate Hyponatremia: 1st step – Determine which of the 3 kinds it is by calculating the serum Osms. Hypertonic – (serum …