Clinic A/P, adults, Hospital A/P, Adults
Diagnosis The diagnosis is based on a history of taking a serotonergic agent PLUS specific clinical findings. See the Hunter Serotonin Toxicity Criteria. H&P: Risk factors: Typical presentation: DDx: NMS, Malignant hyperthermia, Anticholinergic syndrome, others....
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Acute high altitude Sickness (High Altitude Sickness) is the umbrella term for 3 different conditions that can happen when a person ascents to altitudes ≥2500 m. Acute Mountain Sickness (AMS) High-Altitude Pulmonary Edema (HAPE) High-Altitude Cerebral Edema (HACE)...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Background Immunoglobulin A vasculitis (IgA vasculitis, IgAV) was formerly called Henoch-Schönlein purpura (HSP). Pathophysiology: In IgA vasculitis, IgA immune complexes are deposited in small vessels. When that happens in the skin, we see petechiae and palpable...
Clinic A/P, adults, Hospital A/P, Adults
“The annual cancer risk for patients with nondysplastic Barrett’s esophagus is 0.12%–0.4%, with a significant increase in risk if dysplasia is present. Surveillance with endoscopy every 3 years is recommended for patients with Barrett’s esophagus without...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Diagnosis H&P: Typical presentation: Patient was started on Lisinopril. A few hours after taking the first dose, he shows up to the ER with facial, lip, tongue edema, tightness in his throat that has been gradually progressing over the last few hours. He has some...
Clinic A/P, adults, Hospital A/P, Adults
Definition of ACS (acute coronary syndrome). Diagnosis See workup for chronic stable angina in the clinic setting. Treatment -Send the patient to the ED immediately. Some of the following will be done in the ED, do what you can with clinic resources. -Morphine prn...