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Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
burning sensation) and ... cough, hoarseness, and ... when EGD and pH ... or more years and ... foods: caffeine, spicy
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Pfor every QRS and ... - LAD: Inf Ml, WPW ... RAD: AntLat MI, WPW ... block - LoPR: WPW ... Short QT <300-360 ms
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
home in a thumb spica ... carpal instability and ... onto outstretched hand ... Splint: Thumb spica ... Orthopedics #Sports #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
dislocates dorsally and ... Exam: Swelling and ... Splint: Thumb spica ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... Splint: Thumb spica ... Orthopedics #Sports #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
when punching a hard ... Exam: Swelling and ... Splint: Thumb spica ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Algorithm for Acute ED Management of Excited Delirium 

Pearls for Appropriate Restraint:
- 1 person for each
the restraint and ... with oxygen as a spit ... mask to ensure ... restrictive manner and ... between patient and
Efficacy of lifestyle interventions for GERD
Weight loss:
 - Improvement of GERD symptoms and esophageal pH
 -
symptoms and esophageal ... esophageal pH and ... reclining Tobacco and ... chocolate, caffeine, spicy ... symptoms and improvement
Shoulder Dislocation - Intraarticular Lidocaine Injection on POCUS
Want to add spice to your relationship with minor
POCUS Want to add spice ... art lido...tug and ... clinical #ultrasound #msk
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
single-photon emission CT (SPECT ... perfusion pre- and ... area <1.0 cm2 and ... Parkinson White (WPW ... , dipyridamole and