Basic Management of Diabetes…Not Just For Internists
In this week’s conference we covered and reviewed some of the basic management of diabetes in the Emergency Department. I thought it was a good review and reminder of some…
Adrenal Crisis
So the adrenal gland is the little cap on top of the kidney. It is broken up into two parts- the medulla and the cortex. For now, lets ignore the…
Pediatric DKA
Author: Dr. Trevor Landas I’m not sure about y’all but I honestly have not seen too many pediatric DKA patients. I’m assuming it probably has to do with thorough screening,…
5 Minute Journal: Too Much Sugar – what to do about it? Anything at all?
Author: Dr. Nupur Shah
Article: Comparison of Two Glycemic Discharge Goals in ED Pts with Hyperglycemia, a randomized trial.
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Thyroid Emergencies
Thyroid emergencies are an interesting class of disorders. They’re rare, but are an acute, life-threatening group of syndromes. This is in contrast to the vast majority of thyroid cases that often present with minor symptoms (or found on routine labs), only requiring outpatient treatment and medications. Thyroid emergencies are the extreme versions of these thyroid disorders. They fall into two categories: “too low” of thyroid hormone (myxedema coma) and “too high” of thyroid hormone (thyroid storm). The post starts with some background anatomy and physiology, and then dives into each disorder separately. Also briefly discusses Levothyroxine overdose.
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Hyperglycemia
Here are some resources for hyperglycemia based on our session today. First here are RMC’s DKA protocols for adults and pediatric patients. DKA Protocol_2016.06.11 Peds DKA guidelines final 2013 Then…
Hyperglycemia
Part One Part Two