Mar 30, 2018
Author: Sam Killian, M.D.
Educational Pearls:
- Spinal cord injury without radiographic abnormality (SCIWORA) is a diagnosis defined as traumatic injury to spine with clinical sx of traumatic myelopathy (paraplegia, paresthesias, FND) without radiographic abnormalities.
- Term was established in 1970’s before MRI...
Mar 28, 2018
Author: Aaron Lessen, M.D.
Educational Pearls:
- Recurrence rate for first time unprovoked seizures - 5% after 48 hours, 14% at 2 weeks , 30% after 4 months.
- Higher risk for recurrence: age under 3; patients with multiple seizures at initial presentation, focal neurologic findings on initial presentation.
- Useful for...
Mar 26, 2018
Author: Gretchen Hinson, M.D.
Educational Pearls:
- Controversial topic.
- Pathophysiology - acidosis leads to an extracellular potassium shift. Patients in DKA will be intracellularly potassium deplete, but will have a falsely normal/elevated serum potassium.
- 3 risk of giving bicarb in DKA - alkalosis will drive...
Mar 23, 2018
Author: Alicia Oberle, MD
Educational Pearls:
- Recent study has shown risk factors for return included patients at high risk for resistance (nursing home, obstructive uropathy), patient where diagnogsis of pyelonephritis was missed, but the biggest risk factor was the existence of bug-drug mismatches.
- Cephalexin...
Mar 21, 2018
Author: Aaron Lessen, M.D.
Educational Pearls:
- There is currently debate within the medical community about what constitutes cardiac activity on ultrasound in the setting of cardiac arrest. A recent study has shown there providers looking at the same clips from an echo will disagree about what constitutes cardiac...