Stridor in Children – Diagnostic Algorithm and Treatment
Rule Out Emergent Diagnosis and Causes of Stridor in Children: Epiglottitis, Retropharyngeal Abcsess, Bacterial Tracheitis, Foreign Body Aspiration
Beware of the “Highly Sensitive” Troponin
In 2009, “highly sensitive” troponin assays became available. These assays can detect the presence of troponin at much lower serum levels compared to traditional troponin assays. “Highly sensitive” troponins have a higher sensitivity and negative predictive value, but lower specificity, when compared with traditional troponin assays.
Drugs for Treating Mycobacterial Infections
Drugs used to treat infections with mycobacteria (tuberculosis,leprosy)
The therapeutic principle applicable to both Tuberculosis and Leprosy is combined treatment with two or more drugs. Combination therapy prevents the emergence of resistant Mycobacteria and Mycobacterial Infections.
Crushing Neonate – Diagnostic Algorithm and Treatment
Always begin with ABCs and decide whether or not to emergently intubate. Begin fluid resuscitation if not in overt CHF and check/correct hypoglycemia. At minimum, these neonates will get a septic work-up including labs, antibiotics and possibly LP, then admission.
Be Cautious Diagnosing Anxiety and Panic Disorder in Patients with Chest Pain and Anxiety
Patients with acute life-threatening cardiac or pulmonary conditions frequently present with feelings of panic or impending doom in association with chest pain. This may even be in the setting of a stressful situation and mislead the EP to feel confident that anxiolytic therapy and reassurance is all that may be needed.
Benzodiazepines – Summary
Biotransformation and Rate of Elimination od Benzodiazepines
Benzodiazepines modify affective responses to sensory perceptions; specifically, they render a subject indifferent towards anxiogenic stimuli, i.e., anxiolytic action. Furthermore, benzodiazepines exert sedating, anticonvulsant, and muscle-relaxant (myotonolytic) effects.
Acute Scrotum Algorithm
Acute Scrotum Algorithm
The general approach to acute scrotal pain is to work-up the patient for testicular torsion by first risk stratifying them based on age group, history and physical.Based on the patient's…
Know the Mimics of Ventricular Tachycardia
The differential diagnosis of Wide Complex Tachycardia
Ventricular tachycardia is a wide complex tachycardia (WCT) that is typically associated with coronary artery disease or other significant heart disease. The rapid rate, often in conjunction with poor baseline…
Antiepileptics – Summary
Drugs used in the Treatment and Prophylaxis of Epilepsy (Antiepileptics)
In specific forms of epilepsy, initially a single drug is tried to achieve control of seizures, valproate usually being the drug of first choice in generalized seizures, and carbamazepine being preferred for partial (focal), especially partial complex, seizures.
Pregnant Vaginal Bleeding Algorithm
1. General Approach and Resuscitation General Start with initial resuscitation and ABCs depending on stability of the patientThen rule-out ectopic pregnancy using pelvic ultrasound and HCG levelIf ultrasound shows Intrauterine…
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