![]() Dens fracture > Type I: Extends through the tip of the dens > Type II: Extends through the base of the dens - unstable > Type III: Extends through vertebral body of axis - can be unstable Geriatric Trauma - Falls - leading cause of injury - Frequently fail to mount a tachycardic response TB meningitis
> If lymphocytic meningitis, likely not viral if low glucose - LOW GLUCOSE IS NOT NORMAL FOR VIRAL MENINGITIS > Absence of fever doesn't exclude TB > Cranial nerve 6 = most common nerve palsy in meningitis Chronic Acetaminophen Toxicity - Can't use nomagram with chronic ingestions - NAC - replenished and maintains glutathione stores - also thought to have a role in free radical scavenging; IV or PO acceptable - If unknown ingestion time and LFTs or APAP elevated
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![]() Acute Otitis Externa
Cerumen Impaction Options
Foreign Body Removal
Acute Otitis Media
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