Monthly Archives: August 2011

Hyponatremia — August 25, 2011

Critical Case Discussion by Dr. Cullen Hegarty Hyponatremia — increased water intake or impaired water excretion Raising sodium — treat underlying disease, fluid restriction (e.g. polydipsia), normal saline or hypertonic saline depending on what is causing it and if significantly … Continue reading

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Pediatric Skeletal Imaging and Non-accidental Trauma — August 18, 2011

Pediatric Skeletal Imaging and Non-accidental Trauma — by Dr. David Lee Clavicle — most commonly injured bone of shoulder in infants and young children — fall on outstretched arm or a direct blow AC separation associated with coracoid fx Sternoclavicular … Continue reading

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Acute Pelvic Pain — August 11, 2011

Presented by Dr. Mike Zwank Ectopic Fallopian tube > 95% Increasing prevalence due to assisted reproductive technology and increasing rate of PID Triad: abdominal pain, amenorrhea, vaginal bleeding Vaginal bleeding in 56%, so 44% with no bleeding, just pain 50% … Continue reading

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Pediatric Ovarian Torsion — August 4, 2011

Discussion by Dr. Peter Baggenstos Ovarian torsion rare under age 10. Often treated with oophorectomy or partial oophorectomy (complete removal can affect development). Can occur with normal ovaries (elongated utero-ovarian ligament which allows twisting). More commonly associated with cyst or … Continue reading

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Aortic Coarctation — August 4, 2011

Aortic Coarctation — discussion by Dr. Michael Zwank HTN in upper extremities Low BP in lower extremities Diminished delayed femoral pulses Often asymptomatic — may not be discovered until teenage years or adulthood Neonates Murmur Pulse differences Heart failure Shock … Continue reading

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Pediatric Imaging — July 28, 2011

Pediatric Imaging by Dr. David Lee While CT does not account for the majority of studies, it does account for the majority of radiation. Study at pediatric trauma center found that theĀ  typical peds trauma patient exposure to radiation to … Continue reading

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