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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

REBEL EM

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. The degree of elevation does not predict disease severity. Baseline labs should not guide diagnosis, but may assist in later management. ESR and CRP are sensitive, yet not specific.

Myelogram 104
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What can global radiology learn from Singapore?

AuntMinnie

The technology's value is limited by the expertise of the operator and poor conditions for diagnostic-quality ultrasound in the home and inpatient settings, and in primary care settings, there is a steep learning curve for staff, and accreditation and maintenance of skills are both essential, Tan pointed out.

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Rosh Review MyEMCert Question

REBEL EM

A 46-year-old woman with a history of borderline high cholesterol levels presents with acute-onset chest pain 2 days ago with progressively worsening shortness of breath. Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report. C, and SpO2 of 93% on room air. Eur Heart J.

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AuntMinnie 2007: Gadolinium: A 'necessary factor' in the development of NSF?

AuntMinnie

Editor's note: As part of the celebration of AuntMinnie.com 's upcoming 25th anniversary, we're presenting 25 for 25 -- a series featuring our most popular content for each of the last 25 years. Imagine going in for a diagnostic MRI scan and coming out with a progressive, irreversible, and potentially fatal disease. In 2006 the U.S.

Disease 116
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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. Intraosseous versus central venous catheter utilization and performance during inpatient medical emergencies. Trauma 1996. PMID: 8913236 7 Lee PM et al.

Hospital 105
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Return Encounters in Emergency Department Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal

REBEL EM

1, 2 Phenobarbital has been studied as an alternative or adjunct to benzodiazepines with encouraging results, but primarily among inpatient services. History of liver disease, history of substance abuse disorder, and history of delirium tremens were also extracted from the hospital EMR. 5 Paper: Lebin J et al.

Disease 98
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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. A prospective randomized study of inpatient iv. Her vitals are: HR 115, BP 120/80, Temp 102.8, O2 Sat 99% on RA, RR 18.

Clinic 99