Episodios

  • Kocher criteria: WWef septic hip VS transient synovitis

    Kocher criteria: WWef septic hip VS transient synovitis
    May 16 2024
    Think of a WWF player getting hit by a Coke bottle in the hip. WWef - Weight bearing issues - WBC >12 - ESR >40 - Fever >38.5 Score of 1 = 3%, 2=40%, 90+ for 3 and 4 ALSO, REMEMBER TO GET A CRP!
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    12 m
  • BAD ANT: Drugs leading to hyperkalaemia

    BAD ANT: Drugs leading to hyperkalaemia
    May 16 2024
    B blockers ACE Diuretics (K sparing) ARB NSAID Trimethoprim
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    6 m
  • Pain Out Of Proportion: Messy Neck Kid (Messy NEC CID) remember the poop prank

    Pain Out Of Proportion: Messy Neck Kid (Messy NEC CID) remember the poop prank
    May 15 2024
    Remember the IG poop toilet paper exchange prank…kids got pain way out of proportion screaming & running to the sink. Imagine wiping peanut butter on the kids neck…. Messy NEC CID Messy( risk factors atherosclerotic disease = mess) NEC -nuts -extremity -“C” food… seafood Comp Ischemic limb Dislocation 1. Mesenteric Ischemia: - Vascular occlusive emergency - Varied presentation, including severe pain and associated vomiting or hematochezia - Pain may not worsen with abdominal palpation - Only 25% will have hemoccult-positive stool 2. Necrotizing Fasciitis: - Type I: NUTS: Polymicrobial, trunk and perineal area, associated with immunocompromised states (DM, etc) - Type II: Extremity: Streptococcus pyogenes +/- Staphylococcus aureus, occurs in healthy, young, immunocompromised hosts, located on extremities - Type III: “C” food… seafood: Vibrio vulnificus, least common, associated with exposure to warm seawater and severe liver disease - Signs and symptoms include erythema, pain beyond erythema, swelling, crepitus or necrosis, induration, bullae, fever, and hypotension 3. Compartment Syndrome: - Clinical condition caused by fractures, soft-tissue injuries, burns, or circumferential dressings - Commonly affects young people, especially with high-energy injuries - Main symptom is severe pain out of proportion to the injury - Other symptoms include pallor, paresthesia, paresis, and pulselessness (late findings) Get someone to check compartment pressures! 4. Ischemic Limb: - Document neurovascular status, color, and temperature - Associated with compromised blood flow to the limb - Assessment includes examination of pulses, skin color, and temperature *Concerned but has thready pulse: Doppler, ABI & CT angiogram limb 5. Acute Joint Dislocations: - Common in wrist, hip, and ankle joints - Assess for dislocation along with fractures on X-rays
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    20 m
  • 4 'W's of circulation

    4 'W's of circulation
    May 14 2024
    Wakefulness Warmth Wee Wactate If BP low these show adequate circulation
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    6 m
  • GCS Score: MAJOR TOM SONG coma score EVM mnemonic

    GCS Score: MAJOR TOM SONG coma score EVM mnemonic
    May 10 2024
    My absolute favorite podcast of all time! Classification of brain injury via GCS: <8 = severe brain injury 9-12 = moderate 13-15 = minor
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    38 m
  • LADS: Drugs that cause hypokalaemia

    LADS: Drugs that cause hypokalaemia
    May 10 2024
    LADS: Laxitives Adrenaline Diuretics Steroids
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    9 m
  • DANISH: Cerebellar signs

    DANISH: Cerebellar signs
    May 10 2024
    Dysdiadochokinesia / Dysmetria Ataxia Nystagmus Intention tremor Slurred speech Hypotonia Dysdiadochokinesia, also known as adiadochokinesia, is the medical term for the inability to perform rapid, alternating muscle movements. The term comes from the Greek words dys, meaning "bad", diadochos, meaning "working in turn", and kinesis, meaning "movement".
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    9 m
  • HM TRAMPS: Elevated Troponin 8 Causes

    HM TRAMPS: Elevated Troponin 8 Causes
    May 10 2024
    Heart failure (acute/chronic) MI Tachyarrhythmia Renal failure Aortic dissection Myocarditis PE Sepsis (think of homeless coming in claiming chest pain)
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    7 m