This week we had a great mix of lectures on both pediatric and adult topics. Topics covered included pediatric ear, nose, and throat emergencies with Dr. Smith, pediatric GI bleeding with Dr. Bensman, anticholinergic poisoning and treatment of the critically ill seizing patient with Dr. Gleimer, a fascinating case of disseminated gonnorhea during of CPC with Drs. Berger and Baez, how to interpret volatile acid testing including the osmolar gap, and finally a great summary on the current standard of the diagnosis of subarachnoid hemorrhage with Dr. Murphy Crews.Read More
This week, Dr. Boyer led us through his R4 case follow up. Drs. Baez and Summers dove deep into the literature on sepsis. Dr. Gauger reviewed toxicologic syndromes. Dr. Axelson hit us with some trauma pearls and we worked through sick respiratory cases during our combined Peds-EM sim.Read More
So, what constitutes a “positive” tap when evaluating for subarachnoid hemorrhage?
Traditional teaching is that a positive tap is Xanthochromia or blood in the CSF
What exactly is Xanthochromia?
The word xanthochromia is simply Greek for “yellow color.” It refers to the yellow color that CSF can take in certain situations. Some of these situations are listed below:
- Elevated CSF protein
- Hypervitaminosis A
- Rifampin Therapy
- Elevated Bilirubin
What we are especially interested in when evaluating for subarachnoid hemorrhage is bilirubin and oxyhemoglobin.Read More