288 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's ... EBV, HIV, HTLVI, Hantavirus ... #AdultOnset #Stills
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Hantavirus Pathogen ... : Hantavirus - Rodents ... to 6 weeks • Hantavirus ... Prodrome: fever, chills ... IgM • Hantavirus
Infections Rats can Transmit to Humans
Other infections not highlighted include Lassa fever, Plague, Salmonella, Tularemia etc

Rat
Rat Feces: - Hantavirus
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
- Infections: Hantavirus
Millicurie limit guidelines for major and minor radioactive spills.
I-131 - 1mCi
In-111 - 10 mCi
F-18 - 10
minor radioactive spills ... 100 mCi Minor Spill ... to RSO Major Spill ... #radioactive #spills
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
minutes 4. if still ... 5 mL) 5. if still ... cauterize 6. if still ... balloon 7. if still
Escharotomy - Procedure Instructions

An unlikely procedure for an EM physician in St Mungo's,  but an
but an important skill ... and procedure is still
Adult-Onset Still's Disease (AOSD)
Rare inflammatory disorder of unknown etiology, difficult to diagnose because of heterogenous presentation.
Adult-Onset Still's ... #AdultOnset #Stills
Causes of Pediatric Spells - Differential Diagnosis Algorithm
Neonates and Infant Spells:
 • Benign Sleep Myoclonus
 •
Causes of Pediatric Spells ... Neonates and Infant Spells ... Breath-holding spells ... and Adolescents Spells ... Cataplexy #Spells
Diagnostic Schema for Hyperferritinemia

Pearl: Diseases associated with extreme elevations: 
1. HLH 
2. Still's disease 
3. Systemic
Still's disease