Run Time: 2 minutes Author: Dr. Erik Verzemnieks Educational Pearls: Caused by inhalation of spores – most common source is soil and honey. 50% of cases are in California followed by Pennsylvania – due to agricultural and industrial nature of the states. Symptoms start as poor feeding, weakness, and constipation – eventually leads to paralysis,…
Read MoreRun Time: 3 minutes Author: Dr. Gretchen Hinson Educational Pearls: Immediate symptoms include airway compromise, refractory hypotension, dysrhythmias, seizures and profound metabolic acidosis. To be symptomatic a person needs to ingest 400mg per kg. Long term problems include: gastric ulcers and GI bleeds – not common – and renal issues from acute kidney injury. References: …
Read MoreRun Time: 2 minutes Author: Dr. John Winkler Educational Pearls: Scombroid poisoning is a histamine reaction from not cooking fish thoroughly enough or from not shipping fish soon enough – symptoms are similar to an allergic reaction – treatment is generally antihistamines. Ciguatera is another toxin that is in more big game fish that causes…
Read MoreRun Time: 4 minutes Author: Dr. Suzanne Chilton Educational Pearls: There are four kinds of blast injuries – primary, secondary, tertiary, and quaternary. Primary injuries involve the actual explosion, this type causes the most deaths. These injuries usually affect organs that involve air meaning lungs, bowels, and ears. These injuries can also affect the reflex…
Read MoreRun Time: 6 minutes Author: Dr. Donald Stader Educational Pearls: There are two types of patients that should be resuscitated for a long period of time after losing pulses – hypothermia and lightning strikes. The low temperature can decrease the loss of neurological function associated with lost pulses. Patient’s with hypothermia should be resuscitated until…
Read MoreRun Time: 4 minutes Author: Dr. Nicholas Hatch Educational Pearls: Three main viruses that are concerning after having an accidental needle stick are HIV, hepatitis B, and hepatitis C. Large bore needles and hollow needles with fresh blood are the highest common risk needle exposure. Conversion rate of an exposure to a large bore needle…
Read MoreRun Time: 2 minutes Author: Dr. Susan Brion Educational Pearls: Bell’s Palsy is an acute peripheral facial nerve palsy, which was named after Charles Bell who described the condition. The facial nerve has branches that affect hearing, facial motor skills, salivation, lacrimation, and taste to the anterior 2/3 of the tongue. Determining if the patient…
Read MoreRun Time: 2 minutes Author: Dr. Nicholas Hatch Educational Pearls: Angioedema is usually caused by an allergic reaction and can be induced by ACE inhibitors as well as tissue plasminogen activator (TPA). Angioedema is caused by the build up of bradykinins resulting in the leaking of capillaries and swelling of tissue. TPA-induced angioedema is reported to…
Read MoreRun Time: 4 minutes Author: Dr. David Rosenberg Educational Pearls: A patient presented with left arm swelling with a history of a right pneumonectomy due to lung cancer. The patient received a NIVA of the arm and was discharged upon normal interpretation of the exam. The patient returned the next day with worsened arm…
Read MoreRun Time: 7 minutes Author: Dr. Samuel Killian Educational Pearls: Presentation: A fever and nasal congestion that began in an infant one week ago but has resolved. A rash that was predominantly over the cheeks but has spread to the rest of the body. No pain with the rash, just blistering. Diagnosis: Fifth disease or…
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