practice updates

Pharyngitis accounts for a large number of Emergency Department and Urgent Care visits each year. The majority of cases are due to a viral etiology, and Group A Beta-hemolytic streptococcus accounts for 15% to 30% of cases. However, a wide array of diseases may present similarly, with several of these potentially life-threatening. This post looks at these mimics and more.

Immune Thrombocytopenic Purpura (ITP) is an immune-related cause of low platelet levels. It is more common in children than adults, but may occur in both populations. This is a brief review of the signs and symptoms of ITP and initial treatment options in the emergency department.

We have discussed several entities that may lead to a child limping. We have covered osteomyelitis, plantar punctures, and toddler’s fractures. We have also touched upon Osgood Schlatter’s Disease, SCFE, osteosarcoma and even Growing Pains. Now let us review a topic that always crosses our minds when considering the painful extremity: Septic Arthritis.

Disseminated Intravascular Coagulation (DIC) is a serious complication of some critical illnesses. Patients are very ill and can present with a multitude of symptoms. While treatment of the underlying illness is key, there are some key interventions that can be initiated in the emergency department (ED). This is a brief review of the the underlying pathophysiology of DIC and the interventions that can be initiated in the ED.

The most uncomfortable patient in the ED at any given moment may often be the male presenting with priapism. Know what to do and he will thank you forever.

Hemolytic anemia is the premature destruction of RBCs, which can be classified as extrinsic or intrinsic, as well as acute or chronic. In particular, several conditions associated with these anemias can cause significant morbidity and mortality. The ED provider must focus on resuscitation, followed by recognition of the hemolytic process and initiation of appropriate therapy. This post will highlight an approach to evaluation and management of hemolytic anemias.

Continuing with our EM Mindset series, here is another great piece by Dr. Louis Ling to kick off your week. Enjoy!

Third trimester pregnant patients are not seen commonly in the emergency department, but when they are, they have the potential for severe complications such as hemorrhagic shock. This article reviews the most serious causes of bleeding in the third trimester of pregnancy and also discusses management options.

Patients who undergo elective abortions may present to the emergency department for various symptoms and complications due to their recent procedures. This is a brief article of the complications of elective abortion. Workup and management of these complications are also reviewed.