Tamingthesru

Grand Rounds Woods Curry, MD Grand Rounds Woods Curry, MD

Grand Rounds Recap 9/30/2015

September Morbidity and Mortality Conference - Dr. Toth

Cases reviewed were from the month of August. We saw greater volume in 2015 than 2014 with longer ED hold times. We reviewed multiple cases including:

Acute Inflamatory Demyelinating Polyneuropathy

  • Pain is a common presentation, and cranial nerve palsies are not infrequent, but they usually follow weakness and numbness of the extremeties.
  • The diagnosis is in large part clinical, with progressive areflexia and sensory loss being the hallmarks. CSF studies showing albuminocytologic dissociation is confirmatory.
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Grand Rounds, Diagnostics James Summers, MD Grand Rounds, Diagnostics James Summers, MD

What is Useful in the ED to Help Diagnose or Rule Out Septic Arthritis?

History

There are many risk factors for septic arthritis including age >80, Diabetes, Rheumatoid Arthritis, recent joint surgery, prosthesis, cellulitis.  The absence of risk factors does not make septic arthritis less likely in an acute monoarticular arthritis

Physical

Monoarticular arthritis is often characterized as a warm, painful, swollen joint with limited range of motion.  No studies to date have quantified specificity data on the physical exam.  Therefore, clinicians must use their own clinical gestalt when interpreting physical exam findings.

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Intern Radiology Videos, Grand Rounds Alexa Sabedra, MD Intern Radiology Videos, Grand Rounds Alexa Sabedra, MD

Interpreting Chest X-rays

There isn't a day that goes by in the ED that a patient does not get a chest x-ray.  Whether the indication is chest pain, shortness of breath, cough, or line placement or intubation, interpreting chest radiographs is a critical, necessary skill for anyone working in the Emergency Department.  Here you will find a brief video explaining how to interpret CXRs and 6 practice cases.

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