Browsing: Clinical

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Infectious Disease

You Can't Spell Fluoroquinolones without N-O

6/10/2019 Sajid Khan, MD , Maryam Arshad, MD
Once routinely prescribed for a variety of infections, fluoroquinolones have been shown to increase the likelihood of a host of negative effects and are now used sparingly. Do you know the 3 condition
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Toxicology

Kratom: A Blurb on the Herb

6/10/2019 Kyle Suen, MD , William Eggleston, PharmD, DABAT
As kratom becomes more ubiquitous in the United States, a growing body of literature calls into question the safety of this herbal supplement.
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Ultrasound , Cardiology

An Atypical Presentation: Cardiac Tamponade and the Value of Point-of-Care Ultrasound

6/10/2019 Christopher M. Tripp, MD , Zachary T. Grambos, MD
Point-of-care ultrasound potentially saved a life in this case of cardiac tamponade in a patient with end-stage renal disease.
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Informatics

What Is Informatics? P.S. - It's not just for nerds

6/10/2019 Fran Riley, MD, MSE
Informatics remains an up-and-coming field, and its applications in medicine are far-reaching. Just don't be intimidated by the name.
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Cardiology

From Dizzy to Torsades de Pointes: A Case Report

6/10/2019 Afrah A. Ali, MBBS , Muhammad Sameed, MBBS
The most common cause of torsades de pointes is acquired prolongation in the QT interval because of medication. Treating it may require pharmacologic pacing or, in some circumstances, mechanical pacin
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Pulmonary

The Elusive Foreign Body: A Case Report

6/10/2019 Divya Mohan, DO , Jamie Adamski, DO, FACOEP, FAAEM
Foreign body aspiration is a frequent complaint in the ED. Finding the culprit, however, is not always straightforward.
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Toxicology

Early Aggressive Whole Bowel Irrigation to Prevent Severe Lithium Toxicity After Acute Overdose

6/10/2019 Omid Manoochehri, MD , Alex Manini, MD , Josh Wang, MD , Larissa Laskowski, DO , Jeremy Rose, MD
Hemodialysis is the definitive modality of lithium clearance in severe toxicity. In early overdose, however, whole bowel irrigation may prevent lithium absorption and subsequent toxicity if mental sta
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Toxicology

Intentional Flecainide Overdose: A Case Report

6/10/2019 James M. Gaylor, MD , Andrew Franco, MD , Leah Manchester, MD , Raquel F. Harrison, MD, FACEP
Flecainide overdose is a rare but serious toxic ingestion. Treatment includes the aggressive administration of sodium bicarbonate and a low threshold to initiate ILE or ECMO.
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Behavioral Health

Ketamine's Therapeutic Value in Suicidal Patients

6/10/2019 Timothy Kelly, MD , Steve Rosonke, MD
A dearth of acute interventions for mental and behavioral health means we discharge many of our most at-risk patients home without first being able to significantly reduce their symptoms. Can ketamine
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Pulmonary , Critical Care

Management of Simple and Systemic Asphyxiant Injury

6/10/2019 Justin De la Fuente , Tim Montrief, MD, MPH
Although asphyxiant exposure is a relatively uncommon phenomenon, it is important to keep in mind when evaluating an altered patient or a patient who has been found down, particularly in industrial or