Megan Spyres, toxicologist and emergency physician at LA County-USC, gives a primer on diagnosing and treating Wernicke’s encephalopathy. The title of this post “What you don’t know about Wernicke’s encephalopathy” is more from my perspective than a commentary on what you, the listener, may know. After all, you might be a genius when it comes to […]
It’s time for a mumps outbreak! Here is a basic primer on the very basic basics. http://traffic.libsyn.com/ercast/Mumps_ERCast.output.mp3 Direct Download How do you get mumps? Respiratory secretions, that guy sitting next to you on the airplane with the huge parotid gland and just sneeze in your eye. Not good. Incubation period How long does this […]
This is part two of a two part series on chronic pain. Pearls: Set realistic expectations when treating patients with chronic pain. For the vast majority of patients, antidepressants are the first-line pharmacologic choice for the treatment of chronic pain. Patients who present after the acute phase of a painful condition, whether it’s 1 week or 2 […]
Part one of a two part series on caring for patients with chronic pain Pearls: With few exceptions, opiate therapy should be reserved for the short-term treatment of acute somatic pain due to tissue injury. Patients with acute pain should be informed early on that once tissue healing starts, opiates will be discontinued and the […]
Pertussis is bad cough, really bad for babies, extremely contagious and happens in epidemics. We can partially prevent it with vaccination but not completely. So the next question is, can we treat it?
Treat a patient with PE as an outpatient? Insanity! But where is the evidence that says we’re doing the right treatment with all of the PEs we diagnose?