Aug 31, 2017
Author: Nick Hatch, M.D.
Educational Pearls
- A recent observational cohort study found that the biggest predictor for sepsis survival was fever. Those with higher fevers had better outcomes.
- Some possible explanations for this finding are that high fevers indicate good immune response or that high fever cued providers...
Aug 29, 2017
Author: Dylan Luyten, M.D.
Educational Pearls
- Hypoglycemia is very common in type 2 diabetics, and is often caused by insulin overdose or missed meals. Knowing the peak time of action for common diabetes medications can help inform treatment and disposition.
- Regular insulin’s action peaks around 60 minutes. By the...
Aug 27, 2017
Author: Nick Hatch, M.D.
Educational Pearls
- The force required to break a clavicle is significant, so clavicle fracture may be associated with other injury (pneumothorax, vascular injury).
- Most fractures occur in the middle 1/3 of the clavicle.
- Traditionally, clavicle fractures have been managed without surgery....
Aug 25, 2017
Author: Don Stader, M.D.
Educational Pearls
- Cluster headaches are usually intense, unilateral, and involve the periorbital area.
- CN V (Trigeminal) provides sensory and autonomic innervation the face and eyes, which play roles in headache pathology.
- Cluster headaches can be treated with high flow oxygen, but a new...
Aug 23, 2017
Author: Suzanne Chilton, M.D.
Educational Pearls
- Pott’s puffy tumor is a subperiosteal abscess of the frontal bone that arises from hematologic spread or direct infection via the frontal sinuses. The primary symptom is facial swelling.
- It is much more common in children and adolescents.
- Treatment involves removal of...