Tamingthesru
"Fighting the Bugs" - Recap
Below you will find the recap of the 1st case in our Sepsis Smackdown case series. Several weeks ago, we posed a clinical scenario followed by a series of questions. As a refresher the case was that of Linda, a 79 yo female resident of a local nursing facility who arrives to your busy community ED with altered mental status, hypothermia, tachycardia, hypotension, and along history of multiple complicated UTI's. You begin your work up and find her to again have a likely UTI with a urine dipstick with large leukocyte esterase, pH 5.5, 20 protein, negative nitrite.
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.
Grand Rounds Recap 11/11
This week in our summary we examine some critical pitfalls in sepsis care, the limping kiddo and the ever-reliable pulse oximetry in 5 hours of Grand Rounds...