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Lab Case 89

A 6 year old child is brought to ED by his mum, who states that the child has been unwell with fevers,vomiting, loin pain and low backache.  
emergucate.com
over 4 years ago
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Lab Case 90

Metabolic alkalosis & hypochloremia 2o to vomiting Respiratory acidosis, appropriately compensated (57 calculated) Mild renal impairment, possibly prerenal 2o to dehydration (vomiting &tachycardic) GGT ALP and bilirubin all slightly elevated. In elderly pt with vomiting & abdo pain, raises possibility of lesion obstructing cbd eg ca of pancreas /choledochocarcinoma; along with stone, need excluding with US. Note also hyperlactaemia  
emergucate.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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2

Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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JC: Can alcohol relieve nausea. St.Emlyn's - St.Emlyn's

Whilst I was a medical student, I ran several ‘n of 1’ clinical trials, principally investigating whether alcohol could reduce nausea. My notes from these studies were incomprehensible scrawls, and in all honesty the results seemed to disprove my null hypothesis. My early experience, and my subsequent experience as an emergency physician in Virchester rather suggests that alcohol is definitely associated with nausea and vomiting. But maybe we’ve been doing it wrong. So, I was pretty excited to see what Beadle et al found in their trial investigating whether Isopropyl Alcohol wipes could reduce nausea in the Emergency Department. This idea has apparently been around for years with one of the Virchester consultants telling me that this was first mooted in the early 90’s, before iPhones, EBM or #FOAMed.  
stemlynsblog.org
over 4 years ago
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Ivermectin versus benzimidazoles for treating Strongyloides stercoralis infection | Cochrane

Strongyloides stercoralis is a parasite that lives in the gut of infected people. The infection is not serious for most people, but it can be fatal in people with immune deficiency. People become infected when they come in contact with soil or water contaminated with infectious worms. The chronic infection usually causes skin rash, vomiting, diarrhoea, and constipation, and respiratory problems, such as asthma-like illness. This disease may be treated with ivermectin or albendazole or thiabendazole. We wanted to know if ivermectin was better or worse than the other alternative therapies.  
cochrane.org
over 4 years ago
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JC: Can alcohol relieve nausea. St.Emlyn's - St.Emlyn's

Whilst I was a medical student, I ran several ‘n of 1’ clinical trials, principally investigating whether alcohol could reduce nausea. My notes from these studies were incomprehensible scrawls, and in all honesty the results seemed to disprove my null hypothesis. My early experience, and my subsequent experience as an emergency physician in Virchester rather suggests that alcohol is definitely associated with nausea and vomiting. But maybe we’ve been doing it wrong. So, I was pretty excited to see what Beadle et al found in their trial investigating whether Isopropyl Alcohol wipes could reduce nausea in the Emergency Department. This idea has apparently been around for years with one of the Virchester consultants telling me that this was first mooted in the early 90’s, before iPhones, EBM or #FOAMed.  
feedproxy.google.com
over 4 years ago
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FDA Expands Use of Single-Use Antiemetic Fosaprepitant

The FDA has approved single-dose fosaprepitant dimeglumine to prevent delayed nausea and vomiting in patients who receive moderately emetogenic chemotherapy.  
medscape.com
over 4 years ago
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PEM Playbook - Vomiting in the Young Child: Nothing or Nightmare - emdocs

In the young child, vomiting is the great imitator: Gastrointestinal, Neurologic, Metabolic, Respiratory, Renal, Infectious, Endocrine, Toxin-related, even Behavioral. To help us organize, below is a review of can’t-miss diagnoses by age.  
emdocs.net
over 4 years ago
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Updated CINV Guidelines: New Evidence for Change and Practical Issues CME/CE

This activity is intended for oncologists, nurses, and pharmacists, as well as other clinicians who treat patients at risk for or who experience chemotherapy-induced nausea and vomiting (CINV).  
medscape.org
over 4 years ago
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Duplication of Gallbladder and Horse-Shoe Kidney

Abdominal imaging of this 9-year-old boy with nausea, vomiting, and abdominal pain revealed a rare combination of congenital defects.  
medscape.com
over 4 years ago
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Dr. Smith's ECG Blog: Nausea and Vomiting, Again. This ECG is loaded with information.

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.  
hqmeded-ecg.blogspot.com
over 4 years ago
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The critically ill patient vomiting blood - INTENSIVE

Here are the additional learning resources from the LITFL CCC for today’s simulation session at The Alfred ICU, which focussed on the critically ill haematemesis patient.  
intensiveblog.com
over 4 years ago
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Radiology Case 28 - Intensive Care Network

ICU Radiology Case - vomiting and abdominal distension  
intensivecarenetwork.com
over 4 years ago
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Vomiting in the Young Child: Nothing or Nightmare

In children with malrotation, 50% present within the first month of life, with the majority occurring in the first week after birth. Approximately 90% of children with malrotation with volvulus will present by one year of age.   This is a pre-verbal child’s disease – which makes it even more of a challenge to recognize quickly.  
pemplaybook.org
over 4 years ago
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Imaging Case of the Week 195

This erect abdominal x-ray is from a 75 year old presenting with abdominal pain and vomiting. A supine x-ray of the abdomen could not be obtained as the patient became unwell soon after the erect image was taken. What can be observed?Answer will be posted on 09/03/2016.  
emergucate.com
over 4 years ago
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Lab Case 97

A 59 year old man presents to your ED with epigastric pain and vomiting. He is tender in the epigastrium with good bowel sounds.  
emergucate.com
over 4 years ago
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Lab Case 97 – Interpretation

Compensated hyponatraemic, hypokalaemic, hypochloraemic metabolic alkalosis without evidence of renal failure or hypoglycaemia consistent with significant vomiting. Likely to indicate vomiting over a prolonged period of time.  
emergucate.com
over 4 years ago