May 31, 2017
Author: Michael Hunt, M.D.
Educational Pearls:
- Children under age of 6 are at greatest risk of accidental nicotine overdose from ingestion.
- Biphasic presentation:
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- Hyperadrenergic = nausea, vomiting, tachycardia, flushing.
- Bradycardia and respiratory depression.
References:
May 28, 2017
Author: Jared Scott M.D.
Educational Pearls:
- Bear mauling is not a common issue in the ED.
- The Ursus americanus (black bear) is the most common in Colorado, but Ursus arctos horribilis (grizzly bear) attacks are more frequent because they are more aggressive.
- Head and neck lacerations are the most common injuries....
May 26, 2017
Author: Sam Killian, M.D.
Educational Pearls:
- “The Rabbit Has Died” is a lesser used phrase to denote finding out one is pregnant.
- During a test used in the 1930s, the “Rabbit’s Test,” a rabbit was injected with a potentially pregnant woman’s urine. If the woman was pregnant, the rabbit would...
May 24, 2017
Author: Martin O’Bryan M.D.
Educational Pearls:
- Vocal cord dysfunction can mimic other causes of stridor, such as asthma and upper airway obstruction.
- Patients are often very anxious because of the difficulty of inspiration.
- The definitive diagnosis is laryngoscopy that must be done by a pulmonologist.
- The treatment...
May 22, 2017
Author: Sam Killian, M.D.
Educational Pearls:
- Defined as fracture of neck (distal segment) of 5th metacarpal.
- Intrinsic muscles of hand pull segment to palmar aspect of hand.
- 30 degrees of angulation is allowed. Any more increases risk of chronic pain, grip strength and grasping deficits, and rotational deformities.