Welcome to summer! Its getting hotter everyday and we are loving the outdoors here in North Texas. Holmes Faculty Lecture β Dr R.
Please keep a lookout in your email from Dr Chaudhari regarding group assignments, location and day schedule. Critical high yield and low frequency procedures related to the practice of Emergency Medicine Please ALL arrive at 8am for a special Street Medicine and HIV lecture followed by group assignments and simulations.
Lets talk nephrolithiasis briefly β You have a patient with suspected kidney stone. Your email address will not be published. Conference June If the patient has no prior hx of stones CT may be reasonable.
If prior hx of stones consider US in place of CT. NPPV is your friend here. Altered VWF von willebrand factor with platelet dysfunction. All increase bleeding risks, especially ICH. Consider protamine administration if pt arrived with bleeding fistula immediately after HD to address heparin use during HD.
Always check Vascular US of the fistula to ensure no pseudoaneurysm formation. Consider this as a source in suspected septic ESRD pts. When ceftriaxone cannot be used for treating urogenital or rectal gonorrhea because of cephalosporin allergy, a single mg IM dose of gentamicin plus a single 2 g oral dose of azithromycin is an option.
