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Carolinas Case CONFEREnce - Dr. Beverly

1/14/2016

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Picture
​Case 1:
  • Excess iodine exposure can lead to the Jod Basedow effect:
  • In presence of excess iodine, patient’s have autonomous production of thyroid hormone independent of normal regulatory functions
 
  • Average iodine intake for an average adult is 150ucg.
  • Iodine load in 1 CT scan averages 370mg/ml.
  • Each scan loads with 100-120ml.
  • Can affect patients will underlying thyroid disease

  • Treatment in the ED focuses on symptomatic care, adrenergic receptor blockade, blocking thyroid hormone synthesis, inhibiting hormone release and decreasing peripheral conversion
 
 
Case 2:
  • Postural orthostatic tachycardia syndrome is defined by excessive increase in heart rate (greater than 30bpm) when supine to standing in the absence of other overt orthostatic symptoms
 
  • Treatment focuses on preventing hypovolemia and treating excessive sympathetic tone. 
 


Case 3:
  • Cerebellar strokes present with vague symptoms and are hard to diagnose. 
 
  • Pitfalls in ED diagnosis include failure to recognize risk factors in young patients and failure to understand that there is a spectrum of disease. 
 
  • Consider inpatient hospitalization for patients at higher risk. 
 
  • Do not delay consultation if you are worried. 

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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction