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

EMDocs

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. A delay in antibiotics administration was unfortunate but no one can say on a “more probable than not” basis that earlier treatment would have changed the outcome.

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Nephrolithiasis: Ultrasonography versus Computed Tomography

Northwestern EM Blog

Do outcomes for patients with suspected nephrolithiasis differ based on the initial imaging? However, with ultrasonography becoming more prevalent in EDs, it may be possible that initial imaging may avoid this radiation risk and still have similar outcomes for patients. Would you be satisfied with only US and no follow-up CT?

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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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Corticosteroids in Severe Community Acquired Pneumonia: Could CAPE COD catalyze a change in critical care management?

RebelEM

Background: Community-acquired pneumonia (CAP) can lead to pulmonary and systemic inflammation, resulting in impaired gas exchange, sepsis, organ failure, and an increased risk of death. Pneumonia diagnosis supported by clinical and radiologic criteria. Secondary Outcome By day 90, mortality was 9.3% to −0.8).

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What is the Differential Diagnosis of a Suprarenal Mass?

Pediatric Education

The radiologic evaluation of an ultrasound examination showed a small hypoechoic mass in the area of right adrenal gland that was smaller than previously recorded prenatally. This close monitoring does not appear to have poorer outcomes if the patient has neuroblastoma. The diagnosis of a healthy male was made. Pediatr Surg Int.

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REBEL Core Cast 94.0 – SBO

RebelEM

Small bowel obstruction: Outcome and cost implications of admitting service. Radiology US 90% 96% 14.1 Radiology US 90% 96% 14.1 Late findings Fever Abdominal distension (+) LR: 5.64 – 16.8 (-) LR: 0.34 – 0.43 Absent bowel sounds Peritoneal signs (i.e. Emery Med J 2014; 31(3): 248-9. PMID: 24532357 Oyasiji T et al.

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Necrotising Enterocolitis

Mind The Bleep

Common signs and symptoms include: Abdominal distention with prominent veins and discolouration Umbilical flaring Poor feeding Bilious vomiting Abdominal tenderness Bowel changes, including diarrhoea, blood and mucus Lethargy, apnoea, bradycardia Sepsis Risk factors of low birth rate, prematurity and formula feeding. (1, Updated 2022 Aug 8].

Sepsis 52