Tamingthesru
Rhogam Redux
Hemolytic Disease of the Fetus and Newborn (HDFN) is an alloimmune disease which develops in a fetus when a women’s immune system is sensitized, developing antibodies which cross the placenta and attack fetal RBCs.
While there is a spectrum of the disease, in severe cases the fetus can ultimately develop hydrops fetalis which is often fatal.
As Emergency Physician’s we are classically taught that we can help to prevent HDFN by recognizing sensitizing events in Rh-negative women and subsequently providing RhoGAM. But which patients really need RhoGAM? The evidence seems to be lacking and recommendations are often inconsistent.
Grand Rounds Recap 4.18.18
This week we got a refreshing look at soft tissue ultrasound from our US guru Dr. Stolz. We then moved to the opposite end of modern imaging with the rarely indicated but intermittently very useful KUB by Dr. Skrobut. Drs Kiser and Ventura battled it out in a CPC case of pyloric stenosis then the R4s ran a simulation and small group on global health pathologies.
The Abdominal XRay: A relic or a reliable tool?
Is the KUB a relic of an era of simpler diagnostics or a viable alternative to the cost and radiation of cross-sectional imaging? Join Dr. Skrobut as he parces through the indications, pathologies and literature of the abdominal plain film.