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SAEM Clinical Images Series: There’s a Stone Under My Tongue

ALiEM

Case Discussion Take-Home Points Dehydration, trauma, anticholinergics, and diuretics predispose to the formation of sialoliths, with 80-90% arising from the submandibular glands. 2011 Dec;145(6):935-9. Epub 2011 Jul 13. The emergency physician made a single 1 cm incision over the calculus and a 0.5 Otolaryngol Head Neck Surg.

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emDOCs Podcast – Episode 94: GLP-1 Agonist Complications

EMDocs

Severe diarrhea and vomiting may lead to volume loss, dehydration, and hypotension (not common). 2011 Aug 02;108(3 Suppl):33B-41B. 2011;(203):53-74. Thought to be due to reduced gastric emptying and activation of centers involved in appetite regulation and nausea. There is an association with pancreatitis. Diabetes Metab.

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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. Typically presents in the first few hours following ingestion. Children without vomiting within 6 hours of iron ingestion will almost never have significant toxic effects. In severe toxicity, hematemesis, melena, or hematochezia may occur.

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EM@3AM: Leukopenia

EMDocs

2011 Feb 15;52(4):e56-93. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america. Clin Infect Dis. doi: 10.1093/cid/cir073. PMID: 21258094. 2nd edition.

EMS 80
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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

2011 Mar;127(3):e573-80. Epub 2011 Feb 21. Clin Infect Dis 2011; 52:e18. Now you could even admit a kid for IV antibiotics, maybe they’re dehydrated or they can’t take PO for some reason, without sending a blood culture. Pediatrics. doi: 10.1542/peds.2010-2053. PMID: 21339275; PMCID: PMC3387913.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. Heart 2011; 97 : 838-843 [link] 14. Smith Final Comment: It is uncertain what initiated this patient's instability. Any alteration in physiology can change "compensated" AS to "decompensated" AS. J Am Coll Cardiol. 1985;5(3):711-716. Nishimura RA and Otto CM, et al.

EKG/ECG 40
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Neonatal Jaundice

Pediatric Emergency Playbook

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.