Diphenhydramine 12.5mg/5mL100 mL Nystatin 100,000 U/mL35 mL Hydrocortisone 100 mg/2mL2 mLOptionalTetracycline 1500 mgOptionalMaalox1
"421 rule"Rate of crystalloid per hour=4mL/kg for first 10kg 40+2mL/kg for next 10kg +20+1mL/kg for every next kg + wt - 20 kgE.g. 110 mL/hr for a 70 kg pt\$jsmodules/421_maintenance_rate_calcul
HistoryStreet drugsCannabisAnabolic steroidsFamily history of breast or ovarian cancerFamily history of male gynecomastia ImagingUltrasound LabsTotal testosteroneLHEstradiolbeta-hCG
See also: Scaphoid Anatomy & Fractures
GST PAID GrandiositySleep, decreased needTalkative Pleasure and painActivityInattentionDistractibility DIG FAST Distractibility and easy frustrationIrresponsibility and erra
Clinical exam is critical for differentiating whether there is a significant chance of a concerning diagnosis and whether imaging is warranted. E.g. visible ear swelling, raised base of ear, etc. LESS CONCERNING DIAGNOSES:
Sx triad
Cafe au lait spots
Polyostic fibrous dysplasia
Autonomous endocrine function
Sx
The most common endocrine feature is gonadotropin-independent precocious puberty
See also Supplemental oxygen Oxygenation & VentilationSettings of ventilator should aim for "specific patient goals"Generic settings FiO2 100%
See also: Medical Abortion Prescriber Checklist Resource Guide PDF [284 KB] Canadian Protocol for the Provision of Medical Abortion via Telemedicine PDF [458 KB] How t
See also: Professional Guidance regarding medical use of Marijuana in CanadaLast updated Sept 12, 2015. This is a summary of essential information for healthcare providers from Health Canada. Sources are:Medical Use of Mariju
Source: Canadian Family Physician June 2012 vol. 58 no. 6 648-652 Enemas:start with fleet enemaif unsuccessful then soap-suds enema
See also: MEN syndromes (seen in MEN-2a and MEN-2b)
See also: Thyroid nodules
Source: Academic Life in Emergency Medicine
Protocol for Initiating MethotrexateA common protocol used to treat inflammatory arthritis e.g. RA or psoriatic. Usually started after consultation with a rheumatologist. Prior to starting Methotrexate:CBC, ESR, Liver Functio
Treats
Nausea/vomiting (see n/v tx)
Diabetic gastroparesis
Dosing
10 mg PO/IM q8h PRN
10 mg IV over 1-2 min q8h PRN
Mechanism of action
Most doses
&
Brand names: Lopressor, Toprol, Betaloc Peak effect:IV: as little 5 minutes if given as IV push 20 minutes when infused over 10 minutesPO: 1-2 hours Duration of action: 3-6 hours Contraindications:
See alsoHeadache DdxMigraine Headache treatment in the ED Hx Episodes of throbbing temporal pain
First line:30-60 mg Toradol IM. Onset 30-60 minutes.OR20-40 mg Relpax Eletriptan PO. May give second dose 2 hours later if initial dose was 20 mg max daily dose is 40 mg. Onset 1.5-2 hours.Second line:1L IV flui
See also: Murmurs
May be caused by
Progression/worsening of mitral valve prolapse
Myocardial infarction with papillary muscle ischemia and/or papillary muscle rupture causing secondary MR
&nb
Hx
Rheumatic fever
Sx
Hemoptysis
Other sx of pulmonary congestion
High risk for developing atrial fibrillation due to left atrial dilation
&nb
Myxomatous valve degeneration is the pathologic cause of MVP
Sx
Higher-than-expected incidence of chest pain compared with the normal population, which cannot be explained by the valvular abnormality
Mini-mental status examClick the boxes corresponding to the patient's responses. Scroll down for the calculated MMSE score and interpretation. Download handout as PDF print and use to make MMSE administration faster
Source: Academic Life in Emergency Medicine
Download as PDF [110KB]
Specify "Mosteller" from popup menu when dosing chemotherapy http://www.medcalc.com/body.html
Dimenhydrinate. Oral: 50 to 100 mg every 4 to 6 hours, not to exceed 400 mg dailyScopolamine transdermal patch: Apply 1 patch to hairless area behind the ear at least 4 hours 2-12 hours before anticipated need, longer 12 hours is be
GradeDegree of breathlessness related to activities1Not troubled by breathlessness except on strenuous exercise2Short of breath when hurrying on the level or walking up a slight hill3Wa
Etiologyexacerbation of pulmonary disease e.g. COPDelectrolyte disturbancecatecholamine surge e.g. sepsis Common historyelderly patients with an acute exacerbation of underlying pulmonary disease e.g. COPDsymptom
MEN-1MEN-2aMEN-2bDefect in tumor suppressor gene called Menin Pituitary adenoma Pancreatic endocrine tumor Parathy
Hx Multiple symptoms in space in timeSx Weakness Tingling Eye pain Vision changes Internuclear ophthalmopleg
Levine grading scale:The murmur is only audible on listening carefully for some time.The murmur is faint but immediately audible on placing the stethoscope on the chest.A loud murmur readily audible but with no palpable thrill.A l
A cause of "atypical pneumonia"A common cause of pneumonia in young adultsSx typical of Mycoplasma Erythema multiformeSx classically associated with Bullous myringitis