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UOTW #36 – Ultrasound of the Week

61 yo female with no previous medical history presenting with nausea, vomiting and epigastric pain that began approximately 4 hours after eating at a mexican restaurant. Vital signs showed sinus tachycardia and mild hypoxia with the patient sating 92% on room air.  Abdominal ultrasound was performed, identifying a normal gallbladder. However, due to the patients age and abnormal vital signs, an echo was performed immediately after the gallbladder ultrasound and identified the following:  
ultrasoundoftheweek.com
almost 6 years ago
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How the Apple Watch measures heart rate, and why it (hopefully) won't give you a rash

Just a few days before the first units start shipping, Apple has posted some support documents that pull back the curtain on some of the technical details of its heart rate monitor, and also give some insight into steps Apple has taken to head off potential skin irritation issues.  
mobihealthnews.com
almost 6 years ago
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SafetyLit: The relationship between type D personality and heart rate variability in community mental health center users

SafetyLit is produced by the SafetyLit Foundation in cooperation with San Diego State University and the World Health Organization.  
safetylit.org
almost 6 years ago
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Heart Groups Issue Updated Blood Pressure Guidelines - MedicineNet

Three leading groups of heart experts have issued updated guidelines that set blood pressure goals for people with heart disease.  
medicinenet.com
almost 6 years ago
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Sleep-protective monitoring to reduce ICU delirium

0 Introduction 0 Recently an excellent post on the Trauma Professional's Blog pointed out that nocturnal vital signs disrupt sleep and may be unnecessary i  
pulmcrit.org
almost 6 years ago
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KT Evidence Bite: Rapid blood pressure lowering in intracerebral hemorrhage - CanadiEM

Rapid blood pressure lowering to intensive or standard targets in a multicenter, randomized controlled trial showed no difference in death or major  
boringem.org
almost 6 years ago
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SGEM#69: Cry Me A River (Early Goal Directed Therapy) ProCESS Trial

Case Scenario: You are working in a rural community emergency department. The next patient you see is a 71 year old man who has been sick for three days with fever, chills and a productive cough.  On arrival, the vital signs were as follows: Temp 38.7C, HR 110, RR 24, BP 95/60 (after a 500cc normal saline bolus by ambulance), oxygen saturations 88% on room air.  Skin looks mottled, and the patient seems to be confused on questioning.  
thesgem.com
almost 6 years ago
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SGEM#62: Take My (Shortness of) Breath Away – Nebulized Furosemide for COPD

Case Scenario: 73yo man presents to the emergency department with an exacerbation of his COPD. He quit smoking two days ago when his breathing got worse. He has a history of hypertension but no history of congestive heart failure. He has been taking all his medication and puffers as prescribed. Vital signs are BP165/85, HR 95, Temp 37.2C, RR 22 and O2 Sat 92% on room air.  
thesgem.com
almost 6 years ago
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SGEM#39: Weak in the Knees (Diagnosis of Septic Joint)

Case Scenario: 40yo construction worker presents to the emergency department with a swollen and painful right knee. No history of injury. No significant past medical history. Palpable effusion on examination with no overlying redness or warmth to touch. Any movement of the joint is very painful. He is taking no medications. Vital signs are normal.  
thesgem.com
almost 6 years ago
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SGEM#27: Bad to the Bone (Diabetic Osteomyelitis)

Case Scenario: 62yo man presents to the emergency department feeling weak. His vital signs at triage are normal but his glucometer reading is high. He is a known type 2 diabetic and states his sugars have been running a little high lately. After conducting an appropriate history and directed physical examination you have not yet determined the cause of his generalized weakness. There is nothing to suggest respiratory or urinary tract infection. Before leaving the room you take off his socks to check out his feet. What you see and smell is a diabetic foot ulcer on the plantar aspect of his left foot.  
thesgem.com
almost 6 years ago
Www.bmj
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No blood pressure lowering agents prolong survival in diabetes and kidney disease, review shows

No blood pressure lowering agents used either alone or in combination prolong survival in adults with diabetes and kidney disease, a meta-analysis published in the Lancet has found.1  
feeds.bmj.com
over 5 years ago
Www.bmj
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No blood pressure lowering agents prolong survival in diabetes and kidney disease, review shows

No blood pressure lowering agents used either alone or in combination prolong survival in adults with diabetes and kidney disease, a meta-analysis published in the Lancet has found.1  
feeds.bmj.com
over 5 years ago