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Emergency Medical Minute

 

Apr 10, 2024

Contributor: Ricky Dhaliwal, MD

Educational Pearls:

  • Takotsubo cardiomyopathy, also known as "broken heart syndrome,” is a temporary heart condition that can mimic the symptoms of a heart attack, including troponin elevations and mimic STEMI on ECG.

  • The exact cause is not fully understood, but it is often triggered...


Apr 1, 2024

Contributor: Ricky Dhaliwal MD

Educational Pearls:

  • Primary adrenal insufficiency (most common risk factor for adrenal crises)

    • An autoimmune condition commonly known as Addison's Disease

    • Defects in the cells of the adrenal glomerulosa and fasciculata result in deficient glucocorticoids and mineralocorticoids


Mar 25, 2024

Contributor: Travis Barlock, MD

Educational Pearls:

Cancer-related emergencies can be sorted into a few buckets:

  • Infection

    • Cancer itself and the treatments (chemotherapy/radiation) can be immunosuppressive. Look out for conditions such as sepsis and neutropenic fever.

  • Obstruction

    • Cancer causes a...


Mar 18, 2024

Contributor: Travis Barlock MD

Educational Pearls:

  • There are three indications for IV albumin in the ED

  • Spontaneous bacterial peritonitis (SBP)

    • Patients with SBP develop renal failure from volume depletion

    • Albumin repletes volume stores and reduces renal impairment

    • Albumin binds inflammatory cytokines and...


Mar 11, 2024

Contributor: Ricky Dhaliwal, MD

Educational Pearls:

What are DKA and HHS?

  • DKA (Diabetic Ketoacidosis) and HHS (Hyperosmolar Hyperglycemic State) are both acute hyperglycemic states.

DKA

  • More common in type 1 diabetes.

  • Triggered by decreased circulating insulin.

    • The body needs energy but cannot use glucose...