Upper Abdominal Pain in the Emergency Department

Work-up for upper abdominal pain begins with resuscitation and exclusion of critical diagnoses. Then, through a detailed history and physical, consider all the causes of upper abdominal pain. The differential may then come down to Gallstone etiology vs Gastritis/PUD → will need further imaging based on suspicion (US abdomen)

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Acute Illnesses that Lead to Rapid Deterioration in Pulmonary Hypertension

  • Post category:Pulmonology

Sudden deterioration in RV function can rapidly lead to shock, cardiovascular collapse, and death. In the ED, it is important to rapidly recognize and treat common precipitants of acute decompensation. These include sepsis, tachyarrhythmias, hypoxia, pulmonary embolism (PE), and the abrupt withdrawal of vasodilator medications.

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ECG Case 3

  • Post category:ECGs

70 Years old man presented with Chest Pain and this ECG. What is your interpretation of this ECG and the rhythm ? ANSWER

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Shortness of Breath (Dyspnea) in the Emergency Department

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Shortness of Breath Algorithm

Assess severity of dyspnea, including need for intubation/airway management based on physical examination. Emergent intubation indicated regardless of cause if severe respiratory distress/arrest. Consider Critical diagnoses → may be able to cure patient and avert intubation if the underlying cause is corrected (i.e. chest tube insertion, foreign body removal…)

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Measures and Regimens for Preventing Drug-Induced Cushing’s Syndrome

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Cortisol release and its modification by glucocorticoids

When glucocorticoid medication is suddenly withheld, the atrophic cortex is unable to produce sufficient cortisol and a potentially life-threatening cortisol deficiency may develop. Therefore, glucocorticoid therapy should always be tapered off by gradual reduction of the dosage.

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ECG Case 1

  • Post category:ECGs

A 52 years old woman presented with this ECG. The computer interpretation is : Atrial Fibrillation with Ventricular Response of 95Chronic Pulmonary Disease PatternQT Interval long rate Do you agree…

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