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Temple EM Residency
Temple Emergency Medicine Residency Program. Focused on medical education. Resident run. Disclaimer:
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FemInEM Dec 10
. and discuss why work-family conflict makes doctoring harder for women
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Temple EM Residency Dec 14
Admin report by PGY3 chief Dr. Blome: increasing flow often a matter of behavior motivation (expediting workups for staff, keeping ambulatory patients ambulatory)
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Temple EM Residency Dec 14
Oral boards practice case pearl from and Dr. Karl: woman seizing (especially if no prior seizures) --> ask about current/recent pregnancy! Could be eclampsia.
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Temple EM Residency Dec 14
Answer: typhlitis! (necrotizing enterocolitis) Congrats to our winner and runners up Crystal and Kashif Case courtesy of Radswiki, , rID: 12046
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Temple EM Residency Dec 14
We love our active learning sessions: In a neutropenic cancer patient, what should this CT scan increase concern for? thanks
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Temple EM Residency Dec 14
on death telling: identify who's in the room at the start of the conversation, bring someone else in with you
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Temple EM Residency Dec 14
on neutropenic fevers: multiple different criteria, but beware pt recently s/p with neutrophil count expected to decrease further
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Temple EM Residency Dec 14
Case report pearl from PGY1 Dr. Kaigh: tumor lysis syndrome can be first sign of cancer, on ddx for new electrolyte abnormality
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Temple EM Residency Dec 7
TTP can be easily mistaken for viral syndrome (if very mild CNS symptoms) or meningitis (if more altered): be especially careful if bounceback patient, need labs▶️dialysis catheter now▶️admit for plasma exchange
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Temple EM Residency Dec 7
on D.I.C. ⏭ worry if unusual bleeding (often "just" oozing) & labs taking a long time to come back ↘️ treat underlying cause, careful with blood products, don't anticoagulate even if clotting
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Temple EM Residency Dec 7
More : bottom line on discharging febrile onc patients (looks good, no comorbidities, not expected to get worse)
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Temple EM Residency Dec 7
Replying to @Schwellisms
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Temple EM Residency Dec 7
Replying to @Schwellisms
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Temple EM Residency Dec 7
Replying to @Schwellisms
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Temple EM Residency Dec 7
On Daratumumab for myeloma & blood bank being weird about releasing blood ... Tell them to wash RBCs and rerun a type&cross ...NSFT=NotSafeForTwitter
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Temple EM Residency Dec 7
More Schwellian fancy onc pearls: CART (chimeric antigen receptor t-cell) therapy 😱 c/f cytokine release syndrome
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Temple EM Residency Dec 7
Fancy new cancer treatment, emergent complications, by Dr. Ari Schwell: check point inhibitors can cause any "itis", endocrine disturbance, altered mental status ↘️ likely admit+steroids
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Temple EM Residency Dec 7
Tumor lysis syndrome: HYPER-K, uric acid, and phos but HYPOcalcemia. Classically in Leukemias and lymphomas. Tx: IVF, treat the electrolyte abnormalities, do not give bicarbonate to alkalinize the urine, rasburicase
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Temple EM Residency Dec 7
IVF and O2 in sickle cell crisis? No evidence to support routine use. Use supplemental oxygen when sats <95%. Studies also show we often undertreat their pain, so don’t be shy with those pain medications!
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Temple EM Residency Dec 7
Documenting and examining the hand, thoroughly and efficiently (By Dr. Roepke )
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