Remove EKG/ECG Remove Radiology Remove Sepsis
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emDOCs Revamp: Esophageal Perforation

EMDocs

1 , 4 If presenting later in course or with an intra-abdominal perforation, patients are more likely to show signs of sepsis and hemodynamic instability. VBG with lactate 4 – may show low pH with elevated lactate Cardiac biomarkers – to evaluate for cardiac etiology in those presenting with chest pain or type II NSTEMI in those with sepsis.

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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

EKG shows atrial fibrillation with a rate of 169. Sepsis is diagnosed and antibiotics started for the first time. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7. Her R anterior thigh, knee and posterior calf are tender, swollen and ecchymotic. Glucose is 490, CO2 8, and pH 7.26

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EM@3AM: Brainstem Strokes

EMDocs

Cavernous sinus syndrome (B) usually presents with cranial nerve deficits, diplopia, periorbital cellulitis, and facial swelling that may progress to meningitis or sepsis. Brainstem stroke: anatomy, clinical and radiological findings. anatomic region). Locked-in syndrome. Semin Ultrasound CT MR. 2013 Apr;34(2):131-41. 2013.01.004.

Stroke 107
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Episode 29 - Assessing Abdominal Pain in Adults: A Rational, Cost-Effective, and Evidence-Based Strategy

EB Medicine

CT is good but you really should learn ultrasound, and lastly, sick patients need prompt consultation and resuscitation, not rapid trips to radiology. However, it can also be due to hypoxia, sepsis, anemia, PE, or metabolic acidosis, so consider all of those also in your differential. was sensitive for 28-day mortality in sepsis.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Leakage from the staple line typically presents within the first week, but can present up to 35 days, usually with fevers, tachycardia, abdominal pain, nausea, vomiting sepsis, or peritonitis. Some may present with isolated tachycardia while others may present with profound sepsis – tachycardia, hypotension, and fever. At 6 to 8 mL/kg.

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Grand Rounds Recap 5.3.23

Taming the SRU

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,