A patient is brought in by EMS in severe respiratory distress, though o2 sats are normal and lungs are clear on auscultation. You wonder what is triggering the patient's severe tachypnea as you contemplate intubation....
Angela Ugorets, MD
Last week we discussed PUD and gastritis. We touch on H. Pylori as a leading cause of PUD, but it deserves it's own slot for review. While we don't usually diagnose or treat this in the ED ourselves, it is useful to know so we can discuss this important disease with our patients!
In the next several posts, we review some of the common GI disorders we see in the ED, starting with peptic ulcer disease and gastritis. Read on for a good overview and some pearls of wisdom from Dr. Ugorets!
A patient boarding in the emergency department begins decompensating after a profound fit of retching and vomiting. Blood pressure is dropping and o2 sats are falling...you eyeball the patient from the door and he looks severely ill. No time to page the floor team...time to dive in and resuscitate!
A 2 yo female presentes with parents with complaints of "whole body swelling" noted over days. You panic slightly as you reach for possible differentia diagnoses to explain this perplexing symptom and are struck by a distant memory of your peds rotation from medical school, or perhaps a flash of a memory staring at your Robbins textbook of pathophysiology.....
EMS calls ahead to report a 73 yo female with active CPR in progress after being pulled from a housefire. As you run to prepare you resus room, you wrack your brain for everything you know about smoke inhalation victims. Aren't there some toxicology concerns here? Good thing you read this quick refresher on EMDaily!