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ERDoc

I enjoy medicine and technology. Looking forward to discovering some interesting things here!

Cross clear Posts

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Consider high dose #insulin for b-blocker or calcium channel blocker #overdose. j.mp/13mgXuf

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#GHB overdose can lead to #coma and then waking up waiting for discharge paperwork. #toxicology

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Steroids in sore throat? Found this nice systematic review paper in BMJ from 2009. Yes, in patients getting #antibiotics. j.mp/1dRemKv #sorethroat #steroids

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Tapped a knee and came back with 190,000 WBC. Dispo? ADMITTED! #septicjoint

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Importance of looking at objects from multiple angles. #Hematoma block done. Patient without pain.

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#Phenytoin load and q8 hours for head #trauma. Helpful in prevention of post-traumatic #seizures. j.mp/15hwd9c

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#Caraccident. Unrestrained driver. Isolated #femur fracture. Always wear you seatbelt!

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Patient hit in the back of the head with unknown blunt object. Large #laceration with hematoma to head. CT head shows #epidural. Interval CT head scans with no changes.

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#Motorcycle accident with significant road rash. Almost 20% of #skin completely removed. Should patient go to #burn center?

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#Bowel obstruction! Notice any air/fluid levels??

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#DKA Treatment Recipe: Ensure you have ketones and an anion gap. Start 0.1 unit/kg/hr #insulin drip. Throw in some #potassium. Replenish glucose as needed, but don't cut the insulin until gap closed!

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Patient with #clavicle #fracture. Very small spot of bleeding in area around injury. Puncture site of open fracture! Always make sure to explore and consider. Admitted to #ortho. Antibiotics started.

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#Cerebral #contusion in assaulted patient. Hit in head. #Trauma and #neurosurgery consulted. Repeated #CT to see progression. Consider starting #seizure prophylaxis if lesion is large.

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Good overview of #Wellens. j.mp/18chfVI Symmetric and deep T wave inversions OR biphasic T waves IN leads V2 and V3. Hx angina, no ST elevation, present in pain free state, normal enzymes. #EKG

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Patient with history of #malignancy presenting with recurrent #hiccups and #vomiting. Last bowel movement 3 days ago. CT abdomen shows #SBO and esophageal mass. #Hiccups differential: j.mp/153MufM