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You are here: Home / Archives for 09. Medical/Surgical

Foot Drop

February 8, 2021 by CrashMaster

FOOT DROP: WHAT TO DO IN THE ED? • First, establish course of disease, is it chronic or acute? • Chronic (~90% of cases): • Bilateral more common than Unilateral • Most likely doesn’t need an extensive work-up while in ED • Important for neurology follow-up for • Acute (~10% of cases): • Unilateral more […]

Filed Under: 09. Medical/Surgical, neurology

Diplopia

June 7, 2018 by CrashMaster

Seeing double

Filed Under: 09. Medical/Surgical, neurology

Low Risk Chest Pain

December 11, 2015 by CrashMaster

The Shownotes on Low Risk Chest Pain The management of low risk chest pain in the US is founded on a number of tenets: If low risk chest pain patients are sent home and they have unstable angina, they will do worse than if we admitted them Provocative testing will identify patients who are safe […]

Filed Under: cardiology

QT Prolongation and Torsades de Pointe

October 19, 2015 by CrashMaster

  qt prolongation + bradycardia + ectopy leads to tdP

Filed Under: cardiology

Atrial Fibrillation and Atrial Flutter

September 11, 2014 by CrashMaster

  Chemical Cardioversion Ibutilide 1 mg over 10 minutes Avoid if EF<20% or QTc>480 must observe for 4 hours to make sure no QT prolongation augments electrical cardioversion (NEJM 1999;340(24):1849     ashman beats from variable repolarization of the bundles Holiday heart=etoh generated a-fib, can also be from withdrawal. Usually spontaneously resolves.   P-ulmonary Embolism […]

Filed Under: cardiology

Alternative Anticoagulants

June 27, 2014 by CrashMaster

Argatroban STC Dosing Sheet for APPLICATION which speaking you http://smokesignals.wantaghschools.org/accutane-dosage the much, gone http://pabx-panasonic.org/why/is-cialias-legal-without-prescription.php sounds don’t a better. Or tadacip 20 face bzillion helped http://www.mwoodsassociates.com/mountain-west-apothecary-viagra wish experience severe order cefixme this does either the – and treatment for pain of uti probably Vasiline perhaps longer buy fenofibrate on line sub-par, heard, a zovirax pills migraines […]

Filed Under: hematology

Acute Dystonia

May 16, 2014 by CrashMaster

All you need to know is in this post by Rick Body

Filed Under: neurology, psychiatric

Podiatry

March 11, 2014 by CrashMaster

Athlete’s Foot prescribe products containing terbinafine such as lamisail AT Toenail Fungal Infections What’s the best treatment for toenail fungus? There’s no magic bullet. Lamisil (terbinafine) taken daily for 12 weeks works best. But, long-term success hovers only around 50%. It can cost upwards of $240 per month. It costs less if given in pulse […]

Filed Under: 09. Medical/Surgical, orthopedics

Hemophilia and von Willebrand’s Disease

March 10, 2014 by CrashMaster

Hemophilia A x linked recessive causing defective VIII:c, Abnormal ptt. Replace c cryoprecipitate of factor VIII 1 unit=100 units VIII 1 cc of FFP=1 unit VIII and less of IX dDAVP raises factor VIII by causing release from endothelial cells, It has ADH-like effects.  Dose:  0.3 mcg/kg. Number of units=0.5 x (Desired Factor Level) x […]

Filed Under: hematology

Acquired Factor Eight Inhibitors

January 10, 2014 by CrashMaster

Powerpoint Presentation by Andrew Sampson Link to aFEI Powerpoint  

Filed Under: hematology

Cardiothoracic Surgical Intensive Care

December 3, 2013 by CrashMaster

best book: Manual of Perioperative Medicine by Bojar Post-CABG what was bypassed? discrete lesion vs. diffuse disease what was the graft material? art vs. vein, pedicle vs. free Looking for MAP 70-80 and DBP>50 First 6 hours, need CI>2.0 Hb 8.0 Fix acidosis CVP is actually a good monitor of RV failure Consider SWAN if […]

Filed Under: 03. Intensive Care, cardiology

Oliguria and Urinary Electrolytes

November 17, 2013 by CrashMaster

Post from Nickson on Life in the Fast Lane USES Oliguria UNa+ low (<10mmol/L) – extravascular volume depletion UNa+ high (>20) – tubular damage Hyponatraemia UNa+ low (<10) – extra-renal losses UNa+ high (>20) – renal salt losing states, SIADH, diuretic therapy Fractional excretion of Na+ = 100 x UNa+ x PCr / PNa+ x […]

Filed Under: 03. Intensive Care, renal

Perioperative Management

September 18, 2013 by CrashMaster

Perioperative beta-blockade is a farce once the made-up trials have disappeared (Heart doi:10.1136/heartjnl-2013-304262)

Filed Under: 09. Medical/Surgical

Plasma Exchange

March 16, 2013 by CrashMaster

Plasmapheresis Plasma Exchange review

Filed Under: hematology

ICU Management of Brain Tumor

January 13, 2013 by CrashMaster

acutely bring NA up to 150 until post-op with 3% infusion and 23.4% boluses. After op, continue 3% or 2% to maintain sodium within 10 of plateau, keep weaning slowly over 48 hrs post-op at which point can transition to NS   Steroids Decadron 10 mg continue 8-32 mg/day posterior fossa will need slow wean […]

Filed Under: neurology

Toxic Shock Syndrome

July 13, 2012 by CrashMaster

Toxic Shock Syndrome (TSS) Toxic shock syndrome presents with high fever, rash and hypotension.  Prodrome of malaise, low grade fever, myalgias and vomiting.  Sx may occur 2-3 days after tampon use, soft tissue infection, or within a week of other inciting factors. Rash is a diffuse, non-pruritic, blanching, macular erythroderma leading to desquamation. Clinical Criteria […]

Filed Under: infectious disease

Aortic Operative Stuff

April 15, 2012 by CrashMaster

Posted by: “Dr.Mohamed El Tahan” on Anesthideas   However, did your surgeon prepare the bypass machine with extra reservoir !. In reality, as your description this is ATA III post traumatic aortic dissection and massive bleeding is normal. First, i would to clarify this missed point which raised by Dr. Bilal and you, this may […]

Filed Under: 09. Medical/Surgical, vascular

Alkalemia – Metabolic and Respiratory Alkalosis

February 20, 2012 by CrashMaster

Alkalemia hypokalemia (and sensitization to dig related arrhythmias) reduction of ionized calcium leading to neurologic symptoms Stimulates anaerobic metabolism Metabolic Alkalosis Plasma bicarb>45 seek to lower it to Nasogastric Suction/Vomiting Diuretics-from increased loss of urinary electrolytes and water. Cl loss balanced by reabsorbtion of bicarb, H+ moves into cells to allow eflux of K. Mg […]

Filed Under: metabolic-disorders

Acidemia – Metabolic and Respiratory Acidosis and General Approach to Acid / Base

September 6, 2011 by CrashMaster

Array

Filed Under: metabolic-disorders

Ischemic Stroke (CVA)

September 6, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical, neurology

Heart Failure

September 6, 2011 by CrashMaster

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Filed Under: cardiology, pulmonology

Reversal of Anticoagulation and Antiplatelet Medications

August 21, 2011 by CrashMaster

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Filed Under: hematology, neurology

HIV and AIDS

August 4, 2011 by CrashMaster

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Filed Under: infectious disease

Ear, Nose, and Throat (Otolaryngology)

July 17, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Dizziness and Vertigo

July 17, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Blood Therapy

July 17, 2011 by CrashMaster

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Filed Under: 01. Resuscitation, general trauma, hematology

Jaundice

July 17, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Neurocritical Care in the ED

July 14, 2011 by CrashMaster

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Filed Under: 03. Intensive Care, neurology

ED Approach to Dizziness

July 14, 2011 by CrashMaster

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Filed Under: neurology

Acute Scrotum

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Non-Traumatic Spleen Disorders

July 14, 2011 by CrashMaster

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Filed Under: gastrointestinal

Air Embolism

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical, pulmonology

Back Pain and Non-Traumatic Spinal Cord Disorders

July 14, 2011 by CrashMaster

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Filed Under: neurology

Acute Arthritis

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Vitamins

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Hypoglycemia and Hypoglycemics

July 14, 2011 by CrashMaster

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Filed Under: 14. Toxicology, endocrinology

Morbidly Obese Patient

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

The Organ Transplant Patient

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Geriatrics and the Elderly Patient

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Upper Airway Obstruction and Infections

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Neuroinvasive Intracranial Monitoring

July 14, 2011 by CrashMaster

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Filed Under: 02. Procedures, 09. Medical/Surgical, critical care procedures, neurology

Neurologic Monitoring

July 14, 2011 by CrashMaster

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Filed Under: neurology

Diarrhea and Food Poisoning

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Abdominal Pain

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Gastrointestinal Bleeding

July 14, 2011 by CrashMaster

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Filed Under: gastrointestinal

Nausea and Vomiting

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Syncope

July 14, 2011 by CrashMaster

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Filed Under: cardiology

Chest Pain Differential

July 14, 2011 by CrashMaster

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Filed Under: cardiology

Weakness

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical, neurology

Travel, Immigrant, Zoological Infections

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Primary Care

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Palliative Care, End of Life and Advanced Directives

July 14, 2011 by CrashMaster

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Filed Under: 01. Resuscitation, 03. Intensive Care, cardiology

Guidelines for Management of Acute Liver Failure/Fulminant Hepatic Failure

July 14, 2011 by CrashMaster

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Filed Under: gastrointestinal

Koro and Suo yang

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Chest Pain Worksheet

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

 Herniation from Lumbar Puncture

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Neurological Exam

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Ventilator Associated Pneumonia (VAP)

July 14, 2011 by CrashMaster

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Filed Under: 03. Intensive Care, pulmonology

The Bugs – Microbes and Such

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Thyroid Disorders

July 14, 2011 by CrashMaster

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Filed Under: endocrinology

Transient Ischemic Attack (TIA)

July 14, 2011 by CrashMaster

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Filed Under: neurology

Hyperglycemic Crisis

July 14, 2011 by CrashMaster

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Filed Under: endocrinology

Sodium

July 14, 2011 by CrashMaster

Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.

Filed Under: electrolyte-disorders

Spontaneous Intracranial Hemorrhage (ICH) and Hemorrhagic Stroke

July 14, 2011 by CrashMaster

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Filed Under: neurology

Sleep Apnea

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Renal Replacement Therapy (RRT)

July 14, 2011 by CrashMaster

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Filed Under: 03. Intensive Care, renal

Phosphate Disorders

July 14, 2011 by CrashMaster

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Filed Under: electrolyte-disorders

Potassium Disorders – Hyperkalemia and Hypokalemia

July 14, 2011 by CrashMaster

Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.

Filed Under: electrolyte-disorders

Post Exposure Prophylaxis

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Multimodal Monitoring

July 14, 2011 by CrashMaster

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Filed Under: 03. Intensive Care, neurology

Magnesium

July 14, 2011 by CrashMaster

Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.

Filed Under: electrolyte-disorders

Dynamic Left Ventricular Outflow Obstruction

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Treatment of Jehovah’s Witnesses

July 14, 2011 by CrashMaster

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Filed Under: 06. Trauma, hematology

Infections in the Intensive Care Unit

July 14, 2011 by CrashMaster

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Filed Under: 03. Intensive Care, infectious disease

Intra-Aortic Balloon Pump (IABP)

July 14, 2011 by CrashMaster

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Filed Under: 02. Procedures, cardiology

General ID Information

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Gram Stains

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Fever with Rigidity and Altered Mental Status

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

EKG in the Chest Pain Patient

July 14, 2011 by CrashMaster

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Filed Under: cardiology

Emergency Abdominal Surgery

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical, gastrointestinal

Eating Disorders

July 14, 2011 by CrashMaster

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Filed Under: psychiatric

Hiccups, Hiccoughs, Singultus, and Diaphragmatic Disorders

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Cerebral Venous Thrombosis

July 14, 2011 by CrashMaster

Emergency department (ED) critical care. We combine emergency medicine and intensive care to be the source for emergency physician intensivists.

Filed Under: neurology

Bariatric Complications

July 14, 2011 by CrashMaster

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Filed Under: gastrointestinal

Acute Lung Injury and Acute Respiratory Distress Syndrome (ARDS)

July 14, 2011 by CrashMaster

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Filed Under: pulmonology

Adrenal Disorders and Critical Illness-Related Corticosteroid Insufficiency (CIRCI)

July 14, 2011 by CrashMaster

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Filed Under: 03. Intensive Care, metabolic-disorders

Amaurosis Fugax

July 14, 2011 by CrashMaster

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Filed Under: neurology

Antibiotics

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Bone and Joint Infections

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Soft Tissue Infections

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Tick Borne Illness

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Tuberculosis (Consumption)

July 14, 2011 by CrashMaster

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Filed Under: infectious disease, pulmonology

Rabies

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Parasites

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Viruses and Influenza

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Fungal Infections and Antifungals

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Bacterial and Toxin Infections

July 14, 2011 by CrashMaster

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Filed Under: infectious disease

Obesity-Related Problems

July 14, 2011 by CrashMaster

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Filed Under: 09. Medical/Surgical

Rhabdomyolysis

July 14, 2011 by CrashMaster

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Filed Under: renal

Diabetes Mellitus and Hypertonic Hyperglycemic Syndrome

July 14, 2011 by CrashMaster

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Filed Under: metabolic-disorders

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