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Anti-NMDA Receptor Encephalitis in Children and Adolescents

Pediatric EM Morsels

It is even more challenging when the initial symptoms seem to align with what we perceive as psychiatric concerns. Often initially misdiagnosed as a psychiatric illness. Higher titers in both CSF and serum were associated with poor outcomes. Earlier diagnosis leads to better outcomes. Brain MRI Can be normal!

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Ep 202 Eating Disorders: Common, Commonly Missed, Mismanaged and Misunderstood

Emergency Medicine Cases

Eating disorders have the highest mortality rate of any psychiatric illness, yet they are frequently missed in the Emergency Department as they can be elusive. The earlier an eating disorder is identified and the earlier that appropriate treatment is initiated the better the long term outcomes.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Alcohol withdrawal syndrome: improving outcomes through early identification and aggressive treatment strategies. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 105
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An Obstetric and Psychiatric Emergency: Managing Acute Agitation Among Pregnant Patients in the Emergency Department

AENJ: Current Issue

Managing agitation in pregnancy is a challenging dilemma due to the fear of adverse maternal and neonatal outcomes as well as the legal risk involved.

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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

A 2008 Cochrane review found adult depression screening does not improve outcomes. The last two trials convincingly demonstrate that when patients with postpartum depression have better access to mental health services, outcomes improve. Screening had no impact on depression, anxiety, or a host of other mental health outcomes.

Military 144
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EM@3AM: Stercoral Colitis

EMDocs

Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Up to 1/3 of adults over 60 suffer from chronic constipation. Mathis, K. L., & Lindor, R. Annals of emergency medicine, 82(1), 3746.

EMS 98
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Problem Drinking Remains a Big Problem

ACEP Now

This medication has limited outcomes data and multiple contraindications. On the other hand, naltrexone and acamprosate are well-tolerated, affordable medications with promising outcomes data for harm reductions and, in some cases, abstinence. American Psychiatric Association. American Psychiatric Association Publishing; 2022.