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Complex Regional Pain Syndrome

Don't Forget the Bubbles

We know that fractures are the precipitating event in about 5–14% of cases and surgical procedures in 10–15%. in 2018, 16% of patients diagnosed with CRPS had comorbid depression, and two-thirds had at least one psychiatric diagnosis, significantly higher than in the general population. Clinical description and quality of life.

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Managing the Patient with Alcohol Intoxication

RebelEM

It may be mistaken for acute intoxication, psychiatric illness, or other occult pathology. Consider a psychiatric consult (and labs needed for psychiatric admission) or check blood work if there is a concern for concomitant underlying medical pathology as a cause of hallucinations. Acta Psychiatr Scand.

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

A trans-esophageal echocardiogram showed a normal ejection fracture, normal right ventricular function, and no vegetations. J Am Psychiatr Nurses Assoc. Evaluation for nephrotic syndrome due to viral hepatitis, endocarditis, venous thromboembolism or other cause of chronic lymphedema is reasonable. Cureus 16(9): e69274.

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Grand Rounds Recap 9.25.2024

Taming the SRU

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. In some cases, patients require psychiatric or psychological attention. You are the Paediatric doctor on call and receive a call for an incoming patient to the emergency department. His name is Ben. While waiting, another call comes in.

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Behavioural and Psychological Symptoms of Dementia (BPSD)

Mind The Bleep

Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. This diagram illustrates that delirium not only worsens the chronic and progressive BPSD but also pre-existent BPSD predisposes the individual to developing delirium. The green arrows represent insults causing a delirium e.g. infection.

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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. Psychiatr Clin North Am. Acta Psychiatr Scand.