Teaching Ultrasound: Cholangitis-Choledocolithiasis

The IOW this week comes from Drs. Dustin Hill and Katie Dean. Their patient is 40’s year old male, who presented to the ER with fever, tachycardia, and  RUQ abdominal pain. He had a history  of cholecysttitis previously and had undergone cholecystectomy.  Bedside ultrasound below was obtained. It can be challenging to get oriented when imaging …

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IV Contrast Myths

Credit to Dr Todd Taylor for finding the article and sharing on the ED Listserv. Article by Anand Swaminathan   Main take-away points: shellfish allergies do not crossover to IV contrast – we shouldn’t even be asking this question pretreatment only helps hives, no statistical significance for major complications interesting discussion between anaphylactic reactions (mast cell …

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How would people manage this case if it were hereditary???

EKG of the Day?

Anyone want to guess this rhythm and the treatment of choice?

Resources for Patients

  Grady Patient Navigators: Kimberlee Scott 5-6474 (cell 404 319-6702) or Barbara Glover 5-6463 (cell 678 265-7396) They can coordinate home health, arrange clinic follow-up. An ideal resource for Grady patients who you are worried about and want to expedite access to outpatient care. You can also message them via your epic inbox after hours. …

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MTC Question

Patient with a forearm stab wound, small hematoma, neurvascularly intact…what workup would you do?

Blue Zone Question

How do people approach steroids in pregnant asthma patients?

Case of the Month #4 Pelvic Fracture

EMory Files Case #4:  Poly-Trauma Hx:   40’s yo M presents with auto v. pedestrian PE:   VS:  Manual BP 80/40, HR 140, B LE Open Deformities, 2+ in all 4, pelvis stable, GCS 7 (2, 2, 3)  Poly-Trauma: ***Case Discussion of Polytrauma with Dr. Prest with Emory Trauma Surgery*** https://www.dropbox.com/s/jqqi8m3e1ng6xzd/Prest%20Polytrauma.MP3 Teaching Point #1:  Problems with airway …

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Case of the Month #5

EMory Files Case #5:  Massive PE Hx:  40 yo F hx of Lupus presents with CP SOB  PE:   VS:  BP 90/50, HR 125, RR 30, O2 88%, afebrile.  Awake and alert, mild distress improved with nonrebreather.   Case Discussion Massive PE: ***Case Discussion Wissam Jaber, Dir. PE Response Team*** https://www.dropbox.com/s/9xv0iqg5f4p9a0e/PE%20Jaber%20Interview.mp3   Teaching Point #1:  Negative …

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Case of the Month: Beta Blocker Overdose

EMory Files  Case #6:  Beta Blocker Overdose Hx:  70 yo presented with AMS s/p seizure. BS 35 in field PE:   VS: HR39, RR 10, 80/40, O2 98% RA.  After 2 amps of D50 àBS 130.  Mental status:  wakes up to follow commands but falls asleep quickly. Beta Blocker Toxicity ***Case Discussion with Dr. Kazzi***  1)  …

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