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EM@3AM: Suppurative Parotitis

EMDocs

A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Transoral Ultrasound in the Diagnosis of Obstructive Salivary Gland Pathologies. Ultrasound Med Biol. We’ll keep it short, while you keep that EM brain sharp. RR 18, SpO2 97% on RA.

EMS 83
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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). He had this ECG recorded.

EKG/ECG 52
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Orofacial Infections

Mind The Bleep

For all patients who come into the emergency department with a swelling, it is helpful to know if they have seen their GP or dentist recently and if they have had any treatment or recent courses of antibiotics. 2015) ‘Emergency Department’, in On-call in Oral and Maxillofacial Surgery.

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Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

PEMBlog

Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Maybe parents will have to thicken the feeds, but I do not recommend this in the emergency department. or somebody who appears pale, dehydrated, in severe pain, or worse, even in shock. it’s probably not going to be H.

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

If you think that there’s an abscess, you can diagnose it clinically by a localized area of induration or fluctuance or use an ultrasound. 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.

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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

Diarrhea is one of the most common complaints in the pediatric emergency department, especially in the summer and early fall. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D. 2020.12.077.

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Sickle Cell Disease Module

Don't Forget the Bubbles

Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.