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How Good is Ultrasound at Diagnosing PTA?

RebelEM

Background: The increased utility and accessibility of point-of-care ultrasound (POCUS) has allowed clinicians the freedom to rethink their diagnostic approach for many common diseases, including peritonsillar abscess (PTA). Test characteristics of ultrasound for the diagnosis of peritonsillar abscess: A systematic review and meta-analysis.

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Congenital Pulmonary Airway Malformation (CPAM)

Pediatric EM Morsels

link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM Morsels. I know we already know this, but it especially true when you are talking about trying to obtain images on a wiggling fetus somewhere around the size of a banana. Dec: 9 (12): 1830.

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How Long Should EM Residency Be? New Studies Shed Light

ACEP Now

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114
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EM@3AM: Flexor Tendon Laceration

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. A 41-year-old male with no significant past medical history presents with a deep hand laceration. There are no extensor tendon sheaths (A) in the hand.

EMS 89
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Lung Abscess in Children

Pediatric EM Morsels

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Scrutinize that CXR for an Air-Fluid Level… and maybe use your Ultrasound to increase your sensitivity!!

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EM@3AM: Liver Transplant Complications

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A point of care ultrasound of the liver reveals the following: Image 1: Ultrasound of the liver showing abnormal hepatic artery flow and resistance index 1 Question: What is the diagnosis? Vital signs: HR 118, BP 103/68, RR 20, T 99.8. LFTs are in the thousands.

EMS 89
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Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children

Pediatric EM Morsels

Oka, 2023) A systematic review linked SMA syndrome to the immediate post-operative period after surgery for scoliosis in pediatric patients, and found the mean days to onset of symptoms was 9. PMID: 31451453 The post Superior Mesenteric Artery Syndrome (SMA Syndrome) in Children appeared first on Pediatric EM Morsels. BMJ Case Rep.