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emDOCs Podcast – Episode 143: Infected Ureterolithiasis

Today on the emDOCs cast we cover the potentially deadly infected ureterolithiasis. 

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    Articles

    US Probe: Serratus Anterior Block

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    When, how, and why should you perform the serratus anterior block?
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal returns with spacers for pediatric wheezing, observation duration after epinephrine for anaphylaxis, and DOAC choice in VTE.
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    emDOCs Podcast – Episode 138: EBM Acute Appendicitis in Adults Part 1

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    The emDOCs Podcast covers EBM Updates in the adult patient with appendicitis, specifically history and exam, lab testing, and diagnostic scoring systems.
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed covers biomarkers for TBI, prehospital whole blood for trauma, and issues with gabapentin.
    Journal Feed
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    • electrocardiography

    ECG Pointers: Mitral Annular Disjunction

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    Lloyd Tannenbaum covers a subset of mitral valve prolapse (MVP) that puts patients at high risk for arrhythmias and sudden cardiac death.
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    • em@3am

    EM@3AM: Suppurative Labyrinthitis

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    A 58-year-old male presents with 1 day of severe vertigo associated with nausea and vomiting, tinnitus, and sudden-onset hearing loss. He reports several days of left-sided ear pain and discharge from his left ear. Vital signs reveal T 38.9C, HR 120, BP 138/96, RR 18, SpO2 99% on room air.
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    Multiple sclerosis

    Immune-mediated, demyelinating disease, separated in time and space, females > males

     

    Presents with exacerbations, med complications, or some other condition (most common)

     

    New neuro symptom = true exacerbation -> steroids

     

    Worsening of prior neuro symptoms = pseudoexacerbation -> find and treat underlying trigger (infection)

     

    Avoid fever; worsens symptoms

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