Author: Shivon Manchanda Adapted from the lecture of Dr Kasia Gore Unilateral Leg Swelling When a patient complains of unilateral leg pain and swelling, we often get an ultrasound right away. Here at Rush, it’s often done in triage, and usually resulted by the time you see the patient. Why we do this makes sense…
Author: Dr. Shivon Manchanda “Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism.” Background: The diagnosis of PE can be challenging. We do not want to scan everyone, yet even with the creation of decision-making tools, our use of CTPA is going up, while our yield of actual PE is going down. And pregnancy makes…
Intro
This blog post covers identifying the need for MTP, MTP protocol, goals of therapy, evidence behind MTP, adjuncts to MTP, and newer testing for coagulopathy. There is also a review of blood transfusion reactions.
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As emergency physicians, we know how to handle bleeding. But what about when the patient is on anticoagulants? Last week our ED pharmacist, Gary Peksa, PharmD, gave us some advice on how to stop the bleeding in a patient on anticoagulants. Here is a brief overview on what he taught us. Let’s start by discussing all the intricacies of the coagulation cascade and how each of the anticoagulants work:
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Heres the no frills details behind ITP and TTP. Your board scores can thank me later.
Okay, so cancer is a broad, difficult topic that I will never be able to cover in one blog post. But we just had a very informative lecture by our very own, behind enemy lines, EM/IM master: the He-Gore. So I’ll touch on a few of the possible cancer related emergencies that he helpfully walked us through.
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Sickle Cell Fever
Basics First off…what is sickle cell anemia? Who gets it? What does the spleen even do?? Calm down, we’ll get to all of that. Let’s start with. The. Basics. So… sickle cell anemia is an autosomal recessive disease that results in a mutation in the Beta chain of hemoglobin, resulting in an amino acid change…
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