Anchors Aweigh!
An otherwise healthy 38 year old patient was brought in by her family with vomiting and mental status changes from her pain medications.
She had repair of a tibial plateau fracture performed four days earlier and was having a lot of pain. She didn’t like taking the Percocets that she was prescribed because they made her nauseous. She took one of them the day after her surgery and she was nauseous the rest of the day, so she vowed not to take any additional Percocets. However, her knee pain was worse that morning to the point that she couldn’t stand it any longer, so she took two Percocets … on an empty stomac...
Source: WhiteCoat's Call Room - December 10, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Medical Topics Patient Encounters Source Type: blogs
Cannabinoid Hyperemesis Syndrome
Thankfully, cannabinoid hyperemesis syndrome isn’t a life- or limb-threatening condition. Malpractice attorneys would be having a field day if it were. I have been attuned to this condition only for the past several years, but it’s apparent that this condition remains diagnostically elusive.
Every new case I pick up has presented previously to my or another community emergency department multiple times without anyone making the diagnosis. And the patient almost always has a trail of CT scans, abdominal ultrasounds, and other imaging studies as well as hundreds of dollars in laboratory testing. It’s known that this...
Source: M2E Too! Mellick's Multimedia EduBlog - December 3, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Cannabinoid Hyperemesis Syndrome
Thankfully, cannabinoid hyperemesis syndrome isn’t a life- or limb-threatening condition. Malpractice attorneys would be having a field day if it were. I have been attuned to this condition only for the past several years, but it’s apparent that this condition remains diagnostically elusive.
Every new case I pick up has presented previously to my or another community emergency department multiple times without anyone making the diagnosis. And the patient almost always has a trail of CT scans, abdominal ultrasounds, and other imaging studies as well as hundreds of dollars in laboratory testing. It’s known that th...
Source: M2E Too! Mellick's Multimedia EduBlog - December 3, 2013 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Worst Smells In The Hospital? There's a List For That!
I recently asked my thousands of Facebook readers to describe the worst smell in the hospital in their own words. They did not disappoint. The hospital setting provides the perfect opportunity to experience a crisis of unimaginable olfactory proportions. Some people thought the smell of rotting flesh was the most intolerable smell in the hospital. Other folks said the unmistakeable smell of melena was the worst. Walking off an elevator onto a floor or unit and experiencing the smells of nasal suicide is a sure fire way to create interesting conversation. Simply ask anyone who's job is st...
Source: The Happy Hospitalist - October 19, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated joy of working in healthcare. Physicians often forget just how alien the language of medicine is to people who don't live it everyday. The best part about being a physician is not helping people recover from critical illness. The best part is not about listening and understanding with compassion and empathy. Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process. Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Post #39 Vomiting and Diarrhea (Gastroenteritis) in Children: A Practical Guide
It certainly looks, sounds and smells awful, but vomiting and diarrhea are rarely dangerous.Vomiting, not to be confused with spitting up, is the expulsion of food from the stomach. Spitting up is more of a laundry problem than a medical problem, and kids who spit up do not become dehydrated. Diarrhea is a little harder to define, because watery stools are fairly common and most healthy individuals will experience it from time to time for reasons which do not qualify as diarrhea.Frequent stools can be normal too, especially in breast-fed babies, who might dirty the diaper every time they feed, up to 12 times a ...
Source: A Pediatrician's Blog - July 13, 2013 Category: Pediatricians Source Type: blogs
Feeding tubes and weird ideas
My favorie BADD post: Tube-ageddon.
I haven't had much time to write anything here about the hell I went through getting my GJ tube. I had every indication for a GJ tube. I had gastroparesis so bad it was starting to affect my breathing, in a way that doctors said was likely to result in infection after infection until I died. From the emergency room onward, doctors were saying my best hope was to get a feeding tube.
Yet the pressure I got from doctors, while in the hospital for one of those infections, was to just keep getting infections, go home, wait to die. Most of them wouldn't say that outright. But so...
Source: Ballastexistenz - May 2, 2013 Category: Autism Authors: Amanda Tags: Abuse Autism Bullying Cognitive disability Degradation Developmental disability Disability Rights Discrimination Ethics Ethics, justice, etc. Food Hatred Medical Medical stuff Outside Perceptions Physical disability Power Source Type: blogs
Cases: Transdermal Granisetron for Refractory Nausea and Vomiting
Discussion: There were many factors that likely contributed to the dramatic improvement in Ms Emma N’s refractory nausea and vomiting. Better psychiatric care through the palliative care psychologist and psychiatrist almost certainly played a role in her overall clinical turn-around. The close attention, serial visits and supportive counseling she received in the Palliative Care clinic could also have been therapeutic. Up-titration of her olanzapine also likely was helpful. Olanzapine is an atypical antipsychotic that works on multiple receptors including dopaminergic, serotonergic, adrenergic, histaminergic and mus...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 1, 2013 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs
Transdermal Granisetron for Refractory Nausea and Vomiting
Discussion: There were many factors that likely contributed to the dramatic improvement in Ms Emma N’s refractory nausea and vomiting. Better psychiatric care through the palliative care psychologist and psychiatrist almost certainly played a role in her overall clinical turn-around. The close attention, serial visits and supportive counseling she received in the Palliative Care clinic could also have been therapeutic. Up-titration of her olanzapine also likely was helpful. Olanzapine is an atypical antipsychotic that works on multiple receptors including dopaminergic, serotonergic, adrenergic, histaminergic and mus...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 1, 2013 Category: Palliative Carer Workers Authors: Christian Sinclair Source Type: blogs
Dear Diary
My gosh. I actually get angst when I haven’t posted for a few days.
Actually, I have angst for other reasons, but not posting just adds to the angst.
So what’s been happening lately?
First, the poor WhiteCoat children are having trying times in their love lives.
Oldest daughter WhiteCoat found out from a member of her track team that her boyfriend of 6 months was cheating on her. Another member of her track team was apparently going around and telling everyone that she had a “secret boyfriend” and was also telling everyone the sordid details of the interactions she was having with her “secret ...
Source: WhiteCoat's Call Room - April 1, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Random Thoughts Source Type: blogs
The LITFL Review 094
Welcome to the awesome 94th edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
StEmylns
Top spot this week has been smashed by two great post from the StEmylns team!
First up we have Simo...
Source: Life in the Fast Lane - February 12, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
Gray Days
It's been a rough 1.2 weeks. Begun,of course, with a sore throat & a mild cough,moved to the runny nose, followed by the 101 degree fevers & the addition of some hard core throat pain, losing my taste on Super Bowl Sunday,(I did not go to the party & how sad is that,when the whole of Baltimore was stark Raven mad?Methinks it may never happen again ) The cough set in & Sunday night I probably got two hours of sleep. Monday I went to the doc & they gave me codeine syrup & an antibiotic for my "sinus infection." Sinus infection-really? Yep,within a day my head felt like a literal bomb & the discharge turned a disgusting color...
Source: The D-Log Cabin - February 7, 2013 Category: Diabetes Authors: HVS Source Type: blogs
Hey GSK - what's a weekend boondoggle?
Louisiana attorney general files second suit against GlaxoSmithKline over off-label drug use
GlaxoSmithKline allegedly marketed nine drugs illegally for uses that have not been approved by the Food and Drug Administration and provided doctors with "consulting fees," expensive meals and "weekend boondoggles" to convince them to prescribe those brands, according to a lawsuit filed this week by Louisiana Attorney General Buddy Caldwell. These practices cost the state's Medicaid and medical assistance programs millions of dollars and subjected patients to "non-approved, ineffective and unsafe uses" of the drugs, according to ...
Source: PharmaGossip - February 7, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
The LITFL Review 091
Welcome to the in-depth 91st edition!
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.
The Most Fair Dinkum Ripper Beaut of the Week
EKG Videos
This weeks ripper is taken out by the master of ECG’s Amal Mattu. Each week he puts out a n...
Source: Life in the Fast Lane - January 15, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
