64 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... joint needs to be clinically ... fracture • ED Management ... : Pain control, ... XRay #Diagnosis #Management
Rich Levitan teaches the VAPORS pneumonic: a quick run-through of the main issues to sort prior
run-through of the main ... issues to sort ... from Scotland #Management ... #CriticalCare #
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Well-localized, sharp, short ... well-localized, dull, longer ... Complex regional pain ... Mechanisms #Neurology #Differential
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... dorsal wrist, pain ... injury • ED Management ... : Pain control, ... #Orthopedics #Sports
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Prognostication based on scores ... and clinical features ... prognostication #diagnosis #management ... stratification #criticalcare
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... The longer the seizure ... #Management #Neurology ... #CriticalCare #
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Monitor closely short ... Society of Critical ... support #COVID19 #management ... #schema #criticalcare
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
valve & viral filter ... on exhalation port ... Internet Book of Critical ... Checklist #SARSCoV2 #Management ... #CriticalCare #
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
meningococcal, H1N1) Clinical ... Guillain-Barre Clinical ... • Weakness: Starts ... Hands or feet • Pain ... Syndrome #diagnosis #management
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Diagnosis and Management ... extrapulmonary cases Clinical ... progressive back pain ... PE: - Local pain ... Residency @CMC_IM #Potts