Acute or sudden vision loss is due to one of the following causes: Opacification of normally transparent structures anterior to retina Retinal abnormalities Abnormalities of optic nerve and visual pathway Systematic history and ocular examination is necessary. Step 1: Unilateral or Bilateral Sudden vision loss ? Monocular loss of vision:…
Tag: Emergency medicine
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Acute Red Eye : Simplified Approach
Red eye reflects hyperemia or engorgement of superficial visible conjunctival, episcleral or ciliary vessels. A) DIFFERENTIAL DIAGNOSES FOR ACUTE RED EYE 1. Painless red eye: a) Diffuse redness: Lids normal: Conjunctivitis Lids abnormal: Blepharitis Ectropion Trichiasis Eyelid lesion b) Localized redness: Pterygium Corneal foreign body Ocular trauma Subconjunctival hemorrhage Episcleritis
Emergency Medicine 
The Continuum: SIRS, Severe Sepsis and Septic Shock
SIRS criteria are mostly used as a screening tool to identify patients that may need further workup for sepsis and severe sepsis. In the emergency department it is a triage tool that helps determine patient acuity and identify patients that are potentially septic and in need of further screening. Septic…
Clinical Skills and Approaches 
Approach to hypertension in pregnancy
Hypertension in pregnancy is one of the major cause of maternal, fetal and neonatal mortality and morbidity in both the developing and developed nations. About 10-15% of pregnancies are accompanied by hypertension and if these are detected early and effective interventions are performed, the prognosis is good. A. HISTORY FOR…
Emergency Medicine 
Pritchard regimen (MgSO4) in PIH
Pre-eclampsia is a disorder of pregnancy, characterized by hypertension (BP > 140/90 mmHg measured 2 times with interval ≥ 6 hours) and proteinuria (urinary excretion of ≥ 0.3 gm protein/24 hour specimen or 1+ in dipstick) after the 20th weeks of gestation in a previously normotensive and non-proteinuric woman. Pre-eclampsia…
A Case of Neuroleptic Malignant Syndrome: A Quick Approach
A 15 year girl started complaining of strange feelings 3 weeks back. She started behaving weirdly and complained her mother that she could hear inanimate objects talking to her- like bangles, rings, glasses. She rapidly had a deterioration with change in personality. She starting acting bizarre and doing abnormal things….