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M&M - EM Chiefs

5/22/2014

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Picture
Change in Mental Status and Abnormal Laughter
  •  Consider non-convulsive status epilepticus in the patient with altered mental status and no other explanation.
  •  A trial of benzodiazepene may help distinguish seizure from other causes of AMS.


Picture
Abdominal Pain in Pt who has MS and Drinks Everyday
  • Gastric Perforation
  • Time to surgical correction is important... delays in diagnosis need to be avoided.
  • Don't allow a "difficult" patient and your altered work flow affect your concern for potential badness.
  • Sign Outs can be hazardous for everyone involved!


Picture
Change in Mental Status
  • Keep Basilar Artery Stroke on your list for pt with Change in MS
  • Look closely at the non-contrast Head CT for Hyperdense Basilar Artery Sign
  • 71% sensitive and 98% specific
  • Always look at the Basilar Artery!


Picture
Pupura on Ears of Pt
  • Levamisole Induced Vasculitis
  • Ask patients about history of cocaine abuse.
  • ~70% of the US cocaine is cut with levamisole (adds bulk and may potentiate stimulant effect).
  • Supportive care... and stop cocaine. If abuse continues, can lead to necrosis.

Picture
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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