Grand Rounds Summary 3/9/2016

Grand Rounds Summary 3/9/2016

Back Pain with Dr. Summers

Of the more than 2.5 million ED cases of back pain every year, roughly 5% of these actually have an emergent cause. Conventional red flags include:

  • Age >50 or <20 yo
  • History of cancer
  • Immunocompromised
  • HIV
  • Steroid use
  • IV Drug Use
  • Known aortic aneurysm
  • Motor neurologic deficit
  • Urinary retention, bowel incontinence, or saddle anesthesia
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Feeling "Dizzy"

Feeling "Dizzy"

This month we have the pleasure of discussing the chief complaint of “dizziness” with Dr. William Knight.  In the attached podcast much of our discussion regarding this symptom focuses on stroke as a cause of this complaint.  Even so, it is important to remember that not all patients who present to the emergency department with dizziness are experiencing a stroke.  Quite the opposite; the majority of patients seeking care for feeling “dizzy” or “lightheaded” or “imbalanced” will have a cause other than restriction of blood flow to, or bleeding into, the posterior fossa. 

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