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Adan Atriham
77 followers -
Physician, World Traveler, Animal Lover, Fitness Obsessed, Peace Maker and Coffee Drinker
Physician, World Traveler, Animal Lover, Fitness Obsessed, Peace Maker and Coffee Drinker

77 followers
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Bronchiolitis... The "Atomic Cold" Disease
In the ED we see kids with coughs and colds every day. Among those, a number of children have bronchiolitis. Few
diseases have a greater effect on the health of young children than viral lower
respiratory tract illness. Approximately 800,000 children in the...

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Bronchiolitis... The "Atomic Cold" Disease
In the ED we see kids with coughs and colds every day. Among those, a number of children have bronchiolitis. Few
diseases have a greater effect on the health of young children than viral lower
respiratory tract illness. Approximately 800,000 children in the...

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Chest Compression During CPR ... Is More About The Brain !
Chest compression are the core of resuscitation efforts in any patient with confirmed or suspected cardiac arrest. Good CPR should not be thought as heart-only process, but a combination of heart and brain.    Standard cardiopulmonary resuscitation consists...

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DVT and Pregnancy
Although the absolute incidence of venous thromboembolism in pregnancy is low (1 or 2 cases per 1000 pregnancies), this risk is approximately five times as high as the risk among women who are not pregnant. These risks reflect the venous stasis and procoagu...

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Heparin Induced Thrombocytopenia
Although the use of heparin is relatively common in the ED, rarely we encounter this complication. In contrast to other conditions caused by enhanced consumption, impaired production, or destruction of platelets, which lead to bleeding complications, immune...

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Potassium metabolism... enough to make you go Bananas!
Potassium metabolism is one of those things we
just have to know. We can really hurt people if get this one wrong. Here is a
review on the topic. Now, go a eat some bananas ! The plasma potassium level is normally maintained
within narrow limits (typi...

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PID is not just an STD, get help from your GYN.
Yes, we do see pelvic pain in the ED (a lot of them), and pelvic inflammatory disease is not an uncommon cause of many of those cases. PID is an infection-induced inflammation of the female upper reproductive tract (the endometrium, fallopian tubes, ovaries...

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Oxygen IS a drug, use it with caution, only when is needed.
This is a quick review on the potentially harmful effects of too much oxygen, published in this month's EPM magazine.  THE POTENTIAL HARM OF OXYGEN THERAPY IN MEDICAL EMERGENCIES Cornet, A.D., et al, Crit Care 17(2):313, April 18, 2013 These Dutch authors c...

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Emergency Contraception.. the only "REAL" emergency!
You: Hi.. I am Dr
X, what can I do for you today? Patient: Uhhh...
my boyfriend and I were... uhhh, you know... (silence) You: Yes... Patient: My
boyfriend and I were having sex and... (silence) You: Uh-hu.... Patient: You
know, he didn't pull out on time. ...

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Sciatica... The Pain That Keeps Coming Back !
I don't need to tell anyone reading this, that back pain is coming, recurrent, misunderstood and mistreated. The term "sciatica" is loosely used for any back pain that radiates, which is technically not right, but because the sciatic nerve roots are the mos...
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