Intern Pearls
October 15, 2014
The Crashing Patient with Pulmonary Artery Hypertension
The Diagnosis of Pulmonary Artery Hypertension (PAH) Carries with it a Very Poor Long Term Survival Without treatment, most patients, both children and adults, will die within 1–3 years. Treatment does improve survival, but long term survival is still poor: Pediatric patients have a 1 year survival of 89% and 5 year survival of 75%. [1] Adult […]
September 19, 2014
A nursemaid’s elbow is the easy way of saying radial head subluxation. The history is usually a toddler that is brought in because they will not use their arm. You will see them holding it in a flexed and pronated position usually with their hand sitting right over their belly button.
Tags: orthopedics
September 17, 2014
Stress Tests and Admitting to the Observation Unit for Chest Pain
Here are a few pearls about how to choose stress tests for patients presenting with CP that you’re admitting to the observation unit. Caveat #1: Much of this is specific to our observation at the Mayo Clinic. We have access to a multiude of provocative tests including EKG treadmills, Adenosine, Dobutamine, and exercise sestamibis, exercise […]
Tags: cardiology, chest pain, observation, stress test
September 14, 2014
1. What does the EKG below show? 2. What would be the key concerning Chief Complaint of the patient’s presentation to the ED given this EKG? 3. What is your disposition/management plan if they present with the concerning chief complaint and this EKG? Answer/Explanation:
Tags: cardiology, ekg, syncope
September 12, 2014
Reversing Anti-coagulation: Part 1 – Warfarin (Coumadin)
Recognition of anticoagulant use in the setting of intracranial hemorrhage, GI bleed, etc is important to note as it is associated with increased morbidity and mortality. We initiate immediate medical therapy to reverse anticoagulant effects in hopes of decreasing the severity of hemorrhage or promote hemostasis.
Tags: anticoagulation, coumadin, pharmacology, warfarin