Clinic A/P, Peds, Hospital A/P, Peds
Child Abuse Pearls Posterior or posteromedial rib fractures in a child should be assumed as child abuse until proven otherwise. Notify CPS or send to the ER for appropriate workup. Neglect is the most common form of child abuse in the U.S. Neglect > Physical abuse...
Clinic A/P, Peds, Hospital A/P, Peds
http://emedicine.medscape.com/article/1955984-overview https://www.uptodate.com/contents/lower-gastrointestinal-bleeding-in-children-causes-and-diagnostic-approach
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
-Is a surgical emergency. Call surgery ASAP. -Broad antimicrobial therapy: Pip/Tazo (gram negatives/anaerobes) + Vancomycin (MRSA) + Clindamycin (group A strep) Clinda reduces toxin production by Group A Strep. Important links Clindamycin for necrotizing...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Tissue Pressure Studies Acute compartment syndrome is an emergency. It can cause serious injury to an extremity. To diagnose it, do tissue pressure studies. It can also develop after a relatively minor injury and can be associated fractures, a badly bruised muscle,...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Definition: Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Diagnosis H&P consistent with sepsis. Labs: -CBC w/ diff, CMP, Coags (PT/INR), D-dimer -Serum lactate -ABG (as needed to eval for acidosis,...
Hospital A/P, Adults, Hospital A/P, Peds, Pharmacy and Therapeutics
“A patient with known adrenal insufficiency secondary to hypopituitarism who is undergoing a period of stress such as illness or surgery should be given intravenous corticosteroids. For moderate-risk procedures such as vascular or orthopedic operations, 50 mg of...
