The Real Emergency Room scenarios, cases and topic reviews. Medical emergency conditions – approach to diagnosis and management.
What is Kaplan’s lesion? Metacarpophalangeal (MCP) joint dislocation: Complex (Irreducible) Dorsal Mechanism of injury: Hyperextension injury Involvement: Usually occurs on border digits (Index > Little…
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The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score is a tool to distinguish ordinary skin infections from necrotizing fasciitis. Mnemonic: NeC WASH Na level:…
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Indication: Anterior shoulder dislocation Position of patient: Supine Position of physician: Standing on the side of the dislocated shoulder Steps: Physician holds the wrist of…
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Rule of 150 and 4 a. Begin treatment if: Paracetamol is ingested at a dose >150 mg/kg Threshold to begin treatment is half the dose…
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Diagnostic criteria for DKA a. Plasma glucose (mg/dl): >250 b. Arterial pH: 7.25 to 7.3: mild DKA 7 to 7.24: moderate DKA <7: severe DKA…
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ATLS’ 80/70/60 rule On the basis of location of pulse palpable, minimum systolic blood pressure can be predicted as follows: Radial/Dorsalis pedis/Popliteal pulse: >80 mmHg…
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Learning Objectives List the differential diagnosis for an acutely painful scrotum. Understand the anatomical basis of testicular torsion. List common presenting signs and symptoms of…
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Blatchford Score Admission risk marker Score component value Blood Urea (mg/dL) 18.2-22.4 2 22.4-28 3 28-70 4 >70 6 Haemoglobin (g/L) for men 12.0-12.9 1…
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