179 results
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
pharyngeal erythema, fever ... pharyngeal erythema, fever ... bacterial metabolites induce ... Sudden onset of fever ... pruritic rash, fever
Posterior Shoulder Dislocation on POCUS

The team wasn't sure if shoulder had been reduced. Rather than send
Dislocation on POCUS ... shoulder had been reduced ... #Dislocation #POCUS ... clinical #ultrasound #MSK
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
CO2 production (fever ... overfeeding, etc), reduce ... drive — stop or reduce ... #CriticalCare #Management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Hyperkalemia • Reduced ... Acute rheumatic fever ... • Yellow fever ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... activated macrophages produce ... symptoms are not caused ... anterior/posterior MSK ... Sarcoidosis #Diagnosis #Management
“Step by Step” – the new kid on the block – aims to risk stratify this
group to both reduce ... an infant with fever ... #Diagnosis #Management ... Stratification #Fever
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
• Rheumatic Fever ... • Rheumatic Fever ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Fever vs Hyperthermia ... Fever: • Regulated ... rapidly fatal • Causes ... BrighamChiefs #Fever ... comparison #diagnosis #management
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
significantly reduce ... cardiovascular causes ... hospitalization for the management
Pediatric UTI Algorithm (2-24 months of age)

Risk stratify with UTI Calc: 
 - Age months
- No other fever ... Emergency Medicine Cases ... Algorithm #Diagnosis #Management