EMDocs
JULY 20, 2023
Pre-stroke disability had to be insignificant measured by mRS (modified Rankin Scale) of 0 or 1. Presentation consistent with diagnosis of an acute ischemic stroke, with the patient meeting criteria of: Failing IV t-PA therapy; OR Patient is contraindicated for IV t-PA administration. Life expectancy had to be 6 months or greater.
EMDocs
JANUARY 11, 2025
A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Up to 1/3 of adults over 60 suffer from chronic constipation. Low threshold for antibiotics and escalation of care with surgery consultation.
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PEMBlog
SEPTEMBER 6, 2023
However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. Decades ago, psychiatric complaints in the pediatric ED were infrequent.
EB Medicine
MAY 3, 2019
Jeff: As a quick survey of our audience before we begin, how many of you routinely encounter co-morbid psychiatric conditions in your ED patients, especially depression? Jeff: And how many of you struggle to admit or transfer patients for a formal psychiatric eval? Nachi: That would certainly be all of our listeners!
Mind The Bleep
JUNE 18, 2023
Treatment Strategies Like with all psychiatric conditions always consider a biopsychosocial approach. – One stroke is prevented for every 37 patients with dementia who avoid 2-3 months of antipsychotic symptoms for their BPSD. The green arrows represent insults causing a delirium e.g. infection.
Pediatric Education
OCTOBER 6, 2024
His mother was worried because his cousin, who attended the same high school, had just been released from inpatient psychiatric treatment for newly diagnosed schizophrenia. Child Adolesc Psychiatr Clin N Am. The past medical history was non-contributory. The family history was positive for his mother and aunt having anxiety.
Pediatric Education
FEBRUARY 18, 2024
Others may have another psychiatric disorder with social phobia being very common in this remaining group. Some children are also treated with selective serotonin reuptake inhibitors especially fluoxetine. Prognosis is good. Studies cite 58% complete remission, and additional ~30% improvement of symptoms.
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