May 23, 2013

Rob Orman MD

A Primer on Butt Pus

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If the rectum were a simple tube, it would be like a fecal sluice gate every time stool arrived. But itʼs not just a tube. It has an elegant sphincter system that can automatically tell solid -from gas- from liquid. What other muscle in the human body has that sort of intelligence? Understanding anal abscesses [...]

Why You Should Get a Flu Shot

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I wonder if you are one of those Dumb Asses who do not get the flu shot each year? Yes. Dumb Ass. Big D, big A. You may be allergic to the vaccine, you may have had Guillain Barre, in which case I will cut you some slack. But if you don’t have those conditions and you work in health care and you don’t get a vaccine for one of the following reasons, you are a dumb ass.

RLQ pain in pregnancy

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The list of potential badness in the pregnant patient with right lower quadrant pain is long and distinguished, but it often comes down to a simple question…”Does this patient have appendicitis?”

Hyphema

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What is a hyphema, and how can I manage one? Hyphema is blood in the anterior chamber of the eye. It may appear as a reddish tinge, or it may appear as a small pool of blood at the bottom of the iris or in the cornea.

Spinal tap following a negative CT in suspected SAH

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It’s deeply rooted medical dogma that spinal tap needs to follow a negative CT when evaluating patients for subarachnoid hemorrhage. New literature has come out to challenge that idea. We talk with Scott Weingart of emcrit.org and Ryan Radecki of Emergency Medicine Literature of Note about a 2011 BMJ paper that looks at the sensitivity of computed tomography when performed within 6 hours of headache onset.

Suicide risk assessment in the ED

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Suicide risk assessment in the emergency department is a challenging endeavor. Our training in residency is limited compared to the volume of mental health patients we see during our careers. This talk is designed to give emergency providers information and options in performing focused and thorough suicide risk assessments.

TRAAPPED SILO SAFE Mnemonic

Medical-Records

A review of the TRAAPPED SILO SAFE mnemonic for Suicide Risk Stratification

Suicide Risk Chart Documentation

Medical-Records

Suicide Risk Chart Documentation should include Risk factors, Protective factors, Collateral information, an estimate of the patient’s suicide risk and a plan

Suicide Risk Reference List

Medical-Records

Suicide Risk Reference List

ERCAST Rant-Off 2011

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It’s open mike time for whatever get’s your goat (in medicine, that is) – sit up, listen and take notice – it is time for our Featured Rants…