Top Tweets for #EMReviewRedefined
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr DSV on Rapid Fire #MedEd Pearls!
Pearl: Rash on the palms and soles: Think RKMSF
-RMSF
-Kawasaki
-Meningococcemia, Multiforme (EM)
-Syphilis (2ndary), tSS, diSSeminated gonorrhea, Scabies
-Foot-hand-mouth disease
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr DSV on Rapid Fire #MedEd Pearls!
Pearl: Sudden loss of vision:
-Cherry red spot: CRAO
-Blood & thunder: CRVO
-Flashers, lowering curtain: Detachment
-PMR, >50yo, elevated CRP: Temporal arteritis
-Optic neuritis, b/l INO: MS
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr .@911doctorsensei on Neuro!
Pearl: Triad of meningitis: F, nuchal rigidity, AMS
-CT before LP if papilledema, focal neuro deficit, new onset sz, hx of CNS dz.
Gm + lancet shape diplococci: strep
Gm - diplococci: N meningitis
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr .@911doctorsensei on Neuro!
Pearl: Carotid dissection
-Clue: Horner syndrome!
MC part of vessel is Internal carotid
Dx: CTA or MRA.
Vertebral artery dissection: Clue: Vertigo, chiropractic work
.@911doctorsensei (@OSUEMEdu) presents his #Neurology Rapid Fire lecture at #emreviewredefined in San Diego! Be sure to follow course director @sreeja_natesan for pearls & tips from the course! #meded #emergencymedicine #boardreview
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr .@LawnerBen!!
HEENT: Epistaxis
-Anterior: Kiesselbach Pelxus
-Posterior: Sphenopalantine arter
Trx anterior: Direct pressure
Trx Posterior: Can try all the stuff for anterior, but will need ENT c/s. Need admit (risk of brady)
Day 2 of #EMReviewRedefined with .@OhioACEP Dr .
@LawnerBen!!
HEENT board pearl: Auricular Hematoma
-Trx: Drain with boulster dressing/pressure dressing.
-Complication: Cauliflower ear!!
In case you are itching to learn how: https://t.co/DVvI9TcAcP
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr .@LawnerBen!!
HEENT board pearl: Globe rupture
Clue: Penetrating injury
-Teardrop pupil
-Positive Seidel sign
-360 degree subconj hemorrhage
Here's a great quick review by .@emdocsdotnet : https://t.co/XlJsbJrP1F
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr .@LawnerBen!!
HEENT board pearl: CRVO
-Painless
-"blood and thunder"
-Trx: Outpatient workup
Day 2 of #EMReviewRedefined with .@OhioACEP
Dr .@LawnerBen!!
HEENT board pearl: CRAO
-Painless
-Cherry red spot
-Admit for stroke workup!
Day 2 of #EMReviewRedefined with .@OhioACEP Dr .@LawnerBen
HEENT board pearl: Retinal detachment
-Painless
-Curtain pulled over
-Ultrasound may show this!
-Immediate ophtho c/s!
Here's a great resource to learn u/s for this: https://t.co/JVS3H9wy9r
Day 2 of #EMReviewRedefined with .
@OhioACEP Dr .@LawnerBen
HEENT board pearl: Temporal arteritis
-Clue: elderly, jaw claudication, pain at temporal artery
-Definitive dx is biopsy, elevated ESR
-Treat with steroids even if biopsy isn't back yet!
Day 2 of #EMReviewRedefined with .
@OhioACEP Dr .@LawnerBen
HEENT board pearl: Periorbital cellulitis vs orbital cellulitis clue:
-Vingnette clue: Orbital is pain with extraocular movement.
-CT orbits to tell the difference
Day 2 of #EMReviewRedefined with .
@OhioACEP Dr .@LawnerBen
HEENT board pearl: Herpes Zoster Opthalmicus (branch of trigeminal nerve- nasociliary branch).
Must stain eye and look for dendrites!
Excited for Day 2 of #EMReviewRedefined with .@OhioACEP ! Dr .@LawnerBen is giving us awesome HEENT board pearls! Stay tuned!!
Excited for Day 2 of #EMReviewRedefined with .@OhioACEP ! We've got an awesome lineupof .@LawnerBen and @911doctorsensei and Dr DSV!
Let the learning begin!!
#EMReviewRedefined with .@OhioACEP in San Diego!
Smells on the board exam can help you know the answer!!
#EMReviewRedefined with .@ohioacep in Beautiful San Diego.
Peds GI Board pearls: Hirschsprung: clue: Did not pass meconium in the first 24 hours. Test of choice: barium enema with biopsy. MCC: absence of Meissner and Auerbach plexus (aganglionosis)
#EMReviewRedefined with .@ohioacep in Beautiful San Diego.
Peds GI Board pearls: Malrotation clue on imaging: double bubble sign! Or dilated stomach and proximal duodenum.
Upper GI will show dilated stomach and prox duodenum with minimal contrast past that point!
#EMReviewRedefined with .@ohioacep in Beautiful San Diego.
Peds GI Board pearls: Malrotation with volvulus: absence of ligament of treitz.
-Vignette clue: Usually present in first month of life!
-Vignette clue: Bilious emesis in neonate
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