Discover and read the best of Twitter Threads about #illnessscript
Most recents (2)
Our #residents got to learn about #syncope & #adrenalinsufficiency today from Rising Chief @LizzyHastie, Chief @photon_ick, & Endo-enthusiast @tsantoscavaiola!!
Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!!
Check out some highlights below we wanted to make sure we shared with our #MedEd peeps on #MedTwitter!!
Don’t forget about adrenal insufficiency!! For patients with things like #syncope or #hypotension, it’s easy to forget about cortisol as a cause! While things like dehydration, infection, & other things may be more common overall… AI is #treatable, so make sure you catch it!!
Primary AI = #adrenal glands themselves are the problem. This means #cortisol AND #aldosterone will be low, while #ACTH AND #Renin will be very elevated in attempt to remedy this!
1/ #Medtwitter, we have a case for you, including a new #IllnessScript from @jackpenner & @EmmaHLevine!
32F presents with fevers, chills, & malaise x 5 days. Pt is somnolent and accompanied by her husband who denies localizing symptoms.
VS T 39C BP 120/60 HR 100 RR 14 100% RA
32F presents with fevers, chills, & malaise x 5 days. Pt is somnolent and accompanied by her husband who denies localizing symptoms.
VS T 39C BP 120/60 HR 100 RR 14 100% RA
2/ While the RN is out of the room, the telemetry alarms for V-tach. When the RN returns, the monitor shows sinus rhythm.
Husband reports that the patient appeared to yell out and then was shivering violently for ~2 minutes.
What in this telemetry strip suggests artifact?
Husband reports that the patient appeared to yell out and then was shivering violently for ~2 minutes.
What in this telemetry strip suggests artifact?
3/ You notice that although at quick first glance, the morphology in lead I and II might resemble a wide complex rhythm, lead III shows sinus tachycardia.
Therefore the limb leads I and II are capturing artifact (probably from movement of the patient).
Therefore the limb leads I and II are capturing artifact (probably from movement of the patient).
