IDSA - Diabetic Foot Infection Wound Score The 10-item score: purulent discharge, nonpurulent discharge, erythema, induration, tenderness, pain, warmth, size, depth, undermining. The 8-item score leaves out purulent and nonpurulent secretions. Abbreviation: DFI, diabetic foot infection. Wound parameters: • Purulent discharge • Nonpurulent discharge • Erythema • Induration • Tenderness • Pain • Local warmth Wound measurements: • Size • Depth • Undermining #Diabetic #Foot #Infection #DFI #Wound #Score #Scoring #Severity #diagnosis #IDSA

Preoperative Evaluation Checklist by Dr. Lizzy Hastie @LizzyHastie #Preoperative #Evaluation #Checklist #diagnosis #perioperative #preop

Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you can always review the chart at bedside! LABS: Baseline + new (you can start making a problem list here, ie hyponatremia, AKI, etc.) IMAGING: Always compare new to prior & make sure you look at the imaging yourself! TTE: Helps to know if the pt has pre-existing heart failure, esp in work-up/management of shock MICRO: Make sure cultures ordered if indicated, also helpful to know priors (don't miss MDR bugs) MEDS: Quick review can help you figure out the Pt's PMH; consider withdrawal or overdose of home meds! Floor transfer? - Could anything they've been given be contributing to current decompensation? NOTES: The last clinic note, discharge summary, and ED triage notes are usually good places to look quickly BUT, be careful not to spend too much on them prior to seeing the patient REMEMBER, something has acutely changed, and they're sick! Make your own objective assessment of the Pt's current clinical status & ensure they're stabilized THEN feel free to dive deep into notes and speak with family for more history Initial Work-up: • For most ICU pts a CBC and CMP is a good place to start. • Most will also get an EKG and CXR. • And an initial bedside echo is never a bad idea - make sure to report your findings in your H&P! Other Things to Consider (depending on the clinical scenario): • Lactate, Troponin, TSH, CPK, HIV, EtOH, Urine Pregnancy Test, UTox Dr. Meredith Greer @EmmGeezee #Admitting #Admissions #ICU #Pearls #Checklist #diagnosis #workup #criticalcare

Diagnosing Young Adults With Hip Pain #HipPain #Diagnosis #Orthopedics #BMJ

Salter Harris Fractures Pediatric physeal fractures have traditionally been described by the five-part Salter-Harris classification system. Type I fractures occur through the growth plate. These injuries may present with normal radiographs and the diagnosis is often made clinically when tenderness is palpated over the growth plate. Type II fractures occurs through the growth plate and metaphysis. Type II injuries are the most common physeal fractures. Type III fractures occur through the growth plate and epiphysis. Type III injuries are intra-articular and the diagnosis is made radiographically based on the appearance of an epiphyseal fragment not associated with a metaphyseal fracture. Type IV fractures are also intra-articular and occur through the growth plate, metaphysis and epiphysis. Type V fractures occur when there is a crush injury of the growth plate. The prognosis is poor because growth arrest and partial physeal closure are common. #Salter #Harris #Fractures #Types #Orthopedics