Labs PTH Normal Ca2+ Normal Phosphate Normal ALP Marke
Hx
Gradual vs acute onset/offset
Context
Exertion
Caffeine
Anxiety
Associated symptom
See also: Sequelae of MIPE New-onset holosystolic murmur at the apexTx Emergent surgery
See also: Thyroid nodules
Epi
The most common thyroid malignancy.
Sx
Characterized by slow, infiltrative local spread affecting other parts of the thyroid gland and regional lymph nodes.
Histo
&nb
See also: Rapid Sequence IntubationBroadly divided into two-classes Non-depolarizing agents block ACh receptors Typical side-effects include hypotension and tachycardia
See also: Differentiation and Diagnosis of Tremor Source: Canadian Family Physician article
Hx
CHF
Left ventricular failure
Tx
Nitroglycerin (NTG), either IV, sublingual or topical relieves the dyspnea and tachycardia associated with cargiogenic pulmonary edema by rapidly reducing pr
The most common paroxysmal tachycardia in people without structural heart disease. Etiology Atrioventricular nodal reentrant tachycardia AVNRT* Atrioventricular reentrant tachycardia AVRT*
See also: Pediatric steroid dose calculator Empiric Antibiotic Selection Assistant Pediatric Cephalexin Keflex Dosage Calculator Quickly calcu
Source: Academic Life in Emergency Medicine
Source: Academic Life in Emergency Medicine
See also: Pediatric Amoxicillin Dosage Calculator Pediatric steroid dose calculator Empiric Antibiotic Selection Assistant \$jsmodules/
See also: Neonatal medication and tube size guidelines Specific weight based references from Academic Life in Emergency Medicine"This data was collected by merging data from the Broselow tape and PEMSoft.
See also: Age-appropriate Pediatric Fever Without a Source workupHx Severity Duration Associated localizing symptoms Appetite
AgeFormulabirth - 1 week150 mL or 5 oz/kg/day2 weeks150 mL or 5 oz/kg/day1 month450-750 mL or 15-25 oz per day2 months600-900 mL or 20-30 oz per day
Schedule in Newfoundland See: http://www.health.gov.nl.ca/health/publichealth/cdc/immunizations_sched.html2moDTap#1HiB#1IPV#1PCV13#1 Rota#14moDTap#2
Source: Academic Life in Emergency Medicine
Compiled by medical staff at Children's Hospital of The King's Daughters a children's hospital in Virginia
Acetaminophen10-15 mg/kg/dose every 4 to 6 hours as needed maximum daily dose: 75 mg/kg/day not to exceed 4 g dailyor for children 6 to 11 years: 325 mg every 4 to 6 hours maximum daily dose: 1625 mg Ibuprofen4 to 10
See also: Pediatric Amoxicillin Dosage Calculator Empiric Antibiotic Selection Assistant Pediatric Cephalexin Keflex Dosage Calculator \$jsmodules/steroi
See also: PEER Simplified Lipid Guideline 2023: Summary Useful tool: PEERSimplified Cardiovascular Decision Aid Full Paper &nbs
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See also: PEER simplified lipid guideline 2023 update
Source: http://www.aliem.com/paucis-verbis-card-penetrating-abdominal-trauma/
See also: Abdominal pain DdxPathophysiology Clinical history cannot accurately distinguish between duodenal and gastric ulcersHx NSAID useSx Burning epigastric pain that starts
Risk factorsmaternal age >30multiple gestationpreeclampsia, eclampsia Clinical featuresLVEF <45%Onset between 36 weeks EGA and 5 months postpartumNo other cause of heart failure Management
Selected Practice PointsUsually, patients with PAD do not need a test or revascularization procedureDo not suggest a test that will not change a patient's clinical course. Good Indicators for testingRest pain pain in fe
Path
Peritonitis in a patient on Continuous Ambulatory Peritoneal Dialysis (CAPD) is usually due to gram-positive pathogens such as Staphylococcus aureus or epidermidis.
Dx
It is usually characteri
Prepare an aspiration needle cut the distal 1 cm off the needle cap and replace the needle cap providing an element of safetyHave the patient hold the laryngoscopeSpray benzocaine to the posterior pharynxIdentify the most fluctuant area and i
Personality Disorders PDAn exellent summary. Original author unknown.Definitions/Diagnosis Axis II disorders, "difficult to help" patients= long-standing, rigid, "stable"
Source: Academic Life in Emergency Medicine Source: Academic Life in Emergency Medicine
Pulmonary Function Test Interpretation Ref: Pocket Medicine, 4th Ed.
Urinary analgesicContraindicated if CrCl<50Dye that exerts local analgesic action on urinary tract mucosa Adult dose labeled:Oral: 100-200 mg 3 times/day after meals for 2 days when used concomitantly with an antib
Sx
Dramatic multidirectional nystagmus
Vertical nystagmus (classic)
Hypertension
Bizarre behavior
See also:GAD-7"Over the past two weeks, how often have you been bothered by the following problems?"\$jsmodules/phq9.html/Total ScoreInterpretation0-4Not depressed5-9M
Physical Exam:HepatosplenomegalyCardiovascular statusRespiratory statusNeedle track marksDocumented baseline mental status examinationSome signs and symptoms of intoxication include the following:Euphoria, dysphoria, motor reta
Fully retractable %Partial retraction with part of the glans penis visible %Partial phimosis with only the urethral meatus visible and none of the glans penis %Phimosis with nonvisualization of the meatus and gla
Basic stretches for common forms of lower back painPiriformis stretch is excellent for sciatica. May also be adapted to sitting position.Lumbar stretch is very good to relieve acute lower back strain caused by heavy lifting, shoveling, or similar
Most common
Lactotroph adenoma/prolactinoma (50%)
Cause amenorrhea and galactorrhea in females
Cause hypogonadism in males
Somatotroph/growth
Key sections of the Canadian Immunization Guide:Recommended schedules for adult 18 years of age and over immunization with pneumococcal vaccineConditions at high risk of invasive pneumococcal disease IPDNote: Tables captured on
See also: Cough/shortness of breath Ddx Pneumococcal pneumonia Staphylococcus aureus pneumonia Staphylococcus epidermis pneumonia Atypical pneumo
Ferrous sulfate 300 mg PO BID after meals, or ideally with juice on an empty stomachadminister 2 hours prior to, or 4 hours after antacidsIf not tolerated then change to:ferrous fumarate Palaferferrous gluconateIf n
See also: Amenorrhea DdxPathophysiology Cause of anovulation is not completely clear but thought to be due to Imbalances in LH and FSH production
The positive likelihood ratio is the probability of a person who has the disease testing positive divided by the probability of a person who does not have the disease testing positive. I.e. true positives/false positives. Diseas
Use backup contraception until:azoospermia on two samples: at 3 months and 4 months post-vasectomy If persistent non-motile sperm, patients can be counselled to cautiously discontinue backup contraception if:seven months h
ChlamydiaAzithromycin GonorrheaCeftriaxone Hepatitis B If victim was vaccinated previously:no Hepatitis B prophylaxis is required some references recommend always give Hep B va
1. Fuel-burning appliances like:portable heatergas or wood-burning fireplacegas kitchen range or cooktopgas clothes dryer 2. Damaged or insufficient venting:corroded or disconnected water hea
See also: EclampsiaSee also: Hypertension in pregnancySee also: Chronic hypertension in pregnancyMild preeclampsia, defined after the 20th week of pregnancy by BP greater than 140/90 Proteinuria greater t
See also: Nausea/vomiting Ddx Amenorrhea Ddx Pregnancy test Routine prenatal careHx Reproductive age female Inadequate contracep
Preseptal cellulitis is an infection of the eyelid anterior to the orbital septum
Orbital cellulitis is an infection posterior to the orbital septum
Tx
Antibiotics for both conditions
Preseptal cellulitis may be
https://www.nichd.nih.gov/about/org/der/branches/ppb/programs/epbo/Pages/epbo_case.aspx
Source: http://www.onlinecjc.ca/article/S0828-282X1201379-7/fulltext#sec1.1 PRIDE = N-terminal Pro-BNP Investigation of Dyspnea in the Emergency Department
Labs PTH High Ca2+ High Phosphate LowSee also:
Hydrocortisone - Framycetin Sulfate - Cinchocaine HCl - EsculinHemorrhoid treatment Rx: Proctosedyl ointment Apply to affected area BID after bowel movements PRN. &nb
See also: Medical use of Marijuana in CanadaLast updated Sept 12, 2015.CPSBC position statement "Professional Standards and Guidelines - Marijuana for Medical Purposes" [PDF 176 KB] July 2015CFP article "Pres
Hx Reproductive age-female with new amenorrheaSx males & females Visual field defects HeadachesSx in females Amenorrhea GalactorrheaSx i
See also: Urinary problems Ddx
Hx
Nocturia
Urgency
Weak stream
Terminal dribbling
Hematuria
Lower back pain over the past four mo
Prostate biopsy pre-test probability calculator based on multiple factors:
Prostate Cancer Prevention Trial Risk Calculator 2.0 (PCPTRC 2.0): http://deb.uthscsa.edu/URORiskCalc/Pages/uroriskcalc.jsp
Calcul
Defined as urinary protein excretion > 150 mg/day
Some excreted protein is normal
20% is low molecular type such as Ig
40% is high molecular weight albumin
40% is mucoproteins secreted by t
http://www.mdcalc.com/psi-port-score-pneumonia-severity-index-adult-cap/Helpful when deciding whether to admit/discharge a patient with community-acquired pneumonia.
See also: Psoriatic arthritis Arthritis Joint/limb pain Ddx Skin conditionsHx Arthritis pain in IP joints of both handsPE Sc
Prednisone 15 mg dailyCall/urgent referral to rheum for initiation/change of DMARD
Types of PAHWHO group 1Idiopathic Pulmonary Arterial Hypertension PAHWHO group 2PAH due to left heart disease or hypoxemiaWHO group 3PAH due to chronic lung disease e.g. COPD, ILDW
Source: Academic Life in Emergency Medicine
Risk factors
Virchow's triad
Venous stasis
Endothelial injury
Hypercoagulability
Hx of
Fleischner recommendations for pulmonary nodule follow-up: https://radiopaedia.org/articles/fleischner-society-pulmonary-nodule-recommendations See also excellent powerpoint presentation: PULMONARY NODULE GUIDELINES: PURE GROUND GLAS
Defined as a fall in systolic BP greater than 12 mm Hg upon inspiration.
Etiologies
Pericardial tamponade
Severe asthma exacerbations
However, its absence does not rule-out seve
Pulsus parvus=decreased amplitude
Pulses tardus=delayed pulse upstroke
Associated with
Aortic stenosis
Classic presentation3-6 week old infant with progressively worsening forceful vomitingVomit may have "curdled milk" appearance and occur hours after last feedLate presentation may include features of dehydration Labs