This edition of the emDOCs cast covers two posts: recognizing skin cancer and new onset hyperglycemia.
emDOCs Podcast – Episode 53: Skin Cancer and New Onset Hyperglycemia Read More »
We dive into the recognition and ED management of Hyperglycemic Hyperosmolar State (HHS)!
EM Cases: HHS Recognition and ED Management Read More »
How do you manage the patient with new-onset hyperglycemia in the ED? Can you diagnose diabetes?
Insulin pumps have improved diabetic patient lifestyles… but what happens when the insulin pump results in a complication? This post gives you what you need to know concerning insulin pumps.
Insulin Pumps: Complications and Emergency Department Presentations Read More »
A 27-year-old female with a history of insulin-dependent diabetes presents to the ED on a Friday evening somnolent and disoriented. Her coworkers report she started slurring her speech and became increasingly altered after they met at a bar after work. Exam reveals a diaphoretic, obtunded female not oriented to person, place, or time. Her GCS is 11. What do you suspect as the diagnosis? What should your first order be?
EM@3AM: Hypoglycemia Read More »
Learn the key historical and examination pearls to help pick up this sometimes elusive diagnosis, what the value of serum ketones are in the diagnosis of DKA, how to assess the severity of DKA to guide management, how to avoid the dreaded cerebral edema that all too often complicates DKA, how to best adjust fluids and insulin during treatment, which kids can go home, which kids can go to the floor and which kids need to be transferred to a Pediatric ICU.
EM Cases: Pediatric DKA Read More »
Welcome back to the EM Boards Survival Guide! This emDocs series will provide you with regular tips and must-know items for EM boards and inservice. This week we have endocrine/metabolics, part 1.
EM Boards Survival Guide: Endocrine/Metabolic 1 Read More »
A 37-year-old female presents with dysuria, polyuria, polydipsia, and lightheadedness. She has a history of insulin-dependent diabetes but ran out of her glucose strips at home. She has had significant nausea and suprapubic pain. She is tachycardic and tachypneic. Exam reveals dry oral mucosa and suprapubic tenderness. POC glucose is 422 mg/dL. What is the diagnosis, and what are your next steps?
EM@3AM: Diabetic Ketoacidosis Read More »
What is a Charcot joint, and what do you need to do in the ED?
Charcot Joint: What do Emergency Physicians Need to Know? Read More »
IV fluids are classically associated with increased risk of cerebral edema in pediatric DKA. What is the literature behind this association? What mechanisms account for cerebral edema, and what should the emergency physician do?
A Well-Grounded Myth? The Association of IV Fluids with Cerebral Edema in Pediatric DKA Read More »