ECG Case 1
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…
Anxiety in the Emergency Department
Medical Conditions with Anxiety as a Common Symptom
The Anxious State limbic system, in particular the amygdala, facilitates autonomic arousal under conditions of uncertainty or distress. The increase in sympathetic tone contributes to a state of readiness with…
Glucocorticoid Therapy – Principal and Adverse Effects
Glucocorticoids - principal and adverse effects
I. Replacement therapy The adrenal cortex (AC) produces the glucocorticoid cortisol (hydrocortisone) and the mineralocorticoid aldosterone. Both steroid hormones are vitally important in adaptation responses to stress situations, such as…
Black Pleural Effusion
Pleural aspiration from a 56-year-old man, who presented with a massive right pleural effusion, yielded purely black coloured fluid. This fluid was determined to be an exudate with very high…
Blue–black eyes and legs
A 70-year-old woman presented with asymptomatic blue-black discoloration of her legs and sclerae. She had a history of oxacillin-resistant coagulase-negative staphylococcal endocarditis complicated by aortic root abscess, needing surgery and…
Nail Sign observed in a 19 year old man
A 19-year-old man presented with pedal oedema and facial puffiness of 3 months' duration. He denied history of orthopnoea, paroxysmal nocturnal dyspnoea, oliguria, haematuria, fever, sore throat, joint pains, rashes, exposure to heavy metals, or any drug abuse.
Hyperphosphatemia and Hypophosphatemia: Clinical Features and Management
Hypophosphatemia - Causes
Hyperphosphatemia Hyperphosphatemia is defined as a serum level above 2.5 mg/dL, but it is usually clinically significant only when levels are greater than 5 mg/dL. Although it is rare in…
Shock Algorithm
Shock Algorithm
The goal for the patient in shock is rapidly identifying that the patient is in shock, finding the cause of shock and treating the cause while simultaneously resuscitating the patient.…
Diagnosing and Treating Meningitis
Infectious meningitis can be caused by a variety of bacterial, viral, fungal, and parasitic organisms. Bacterial and viral organisms account for the most common types of infectious meningitis...
Reversal of Anticoagulant Therapy
Anticoagulants Reversal Agents
A classic scenario of life-threatening hemorrhage requiring emergent anticoagulant reversal is that of intracranial hemorrhage (ICH). We extrapolate recommendations for other hemorrhages from this often-studied patient group...