Jul 31, 2018
Author: Sam Killian, MD.
Educational Pearls:
- Computer interpretation has a very good negative predictive value of a normal EKG (99%).
- Of 222 interpreted as “normal,” 13 were deemed to have some abnormality by a cardiologist in a recent study.
- Those 13 EKG’s were read by 2 ER docs, and only 1...
Jul 27, 2018
Author: Erik Verzemnieks, MD
Educational Pearls:
- Otic (ear) specific antibiotic drops can be expensive
- Opthalmic (eye) versions are basically identical and can be used as an affordable substitute as many are on the $4 drug lists
- But don’t do the reverse (don't use ear drops on the eye)
- Use caution when...
Jul 25, 2018
Author: Michael Hunt, MD
Educational Pearls:
- Toxicity happens from local anesthetics being given too fast, too much, or in the unintended spot
- Systemic toxicity manifests first with neurologic symptoms like circumoral numbness, tinnitus, blurred vision, nausea, and even seizures. Severe toxicity can then progress...
Jul 23, 2018
Author: Don Stader, MD.
Educational Pearls:
- A baby can be born dependent on opioids but not addicted to them.
- Opioid addiction (Opioid Use Disorder) is a disease of mature brains and is characterized by compulsive drug use despite adverse consequences.
- Opioid addiction is a disease that affects the reward center...
Jul 20, 2018
Author: Aaron Lessen, MD
Educational Pearls:
- Re-emerging STI.
- Progresses through distinct phases if untreated:
- Primary syphilis: frequently overlooked because initial chancre is painless.
- Secondary syphilis: viral syndrome, rash on trunk, palms, and soles.
- Latent syphilis: asymptomatic period, lasting 5-20...