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Diabetic Ketoacidosis in Paediatrics

Mind The Bleep

Common stressors in children and adolescents include: Infections: urinary tract infections, gastroenteritis, pneumonias, Poor compliance to insulin therapy, Dehydration, Fasting state, Heatstroke Trauma. or HCO3 10-15 mmol/L: mild DKA (5% dehydration) pH < 7.2 or HCO3 5-10 mmol/L: moderate DKA (5% dehydration) pH < 7.1

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

It is a very common presentation or comorbidity to see in community services and general hospital. Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. In a general hospital there are the dementia and delirium team, as well as Liaison Psychiatry who you can refer to.

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Managing a patient with decompensated liver cirrhosis

Mind The Bleep

History is imperative and a wide range of neurological and psychiatric symptoms can be present. These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. Survival after presenting once with HE is 40% at one year and 20% at 3 years. On Day 3 (i.e.

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. Jeff: In terms of psychiatric effects, several low-to-moderate quality studies have shown statistically significant associations between psychosis and self-reported cannabis use.

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How to Diagnose Eating Disorders in the Emergency Department

ACEP Now

Common, Deadly, Elusive Eating disorders, which include anorexia nervosa, bulimia nervosa, binge eating disorder and avoidant/restrictive food intake disorder (ARFID), are common with increasing prevalence, increasing visits to EDs, and the highest mortality of any psychiatric illness.

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Hypoglycaemia in the ED

Don't Forget the Bubbles

As such, thresholds for intervention remain under debate and vary across different hospitals and countries. His systemic examination is normal, apart from signs of dehydration. Causes of hypoglycaemia table adapted from Perth Children’s Hospital. Physical examination: Joey is well-grown. He is lethargic but alert.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.