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Paucis Verbis card: Hyperkalemia management

Hyperkalemia is a common presentation in the Emergency Department, especially in the setting of acute renal failure. In one shift, I had 4 patients with hyperkalemia! All had from some form of renal failure.

This installment of the Paucis Verbis (In a Few Words) e-card series reviews the treatment options for hyperkalemia.

PV Card: Hyperkalemia


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Weisberg L. Management of severe hyperkalemia. Crit Care Med. 2008;36(12):3246-3251. [PubMed]
By |2021-10-19T19:04:37-07:00Mar 12, 2010|ALiEM Cards, Endocrine-Metabolic|
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Paucis Verbis card: Aneurysmal subarachnoid hemorrhage

Atraumatic subarachnoid bleeds are most commonly caused by ruptured intracranial aneurysms.

This installment of the Paucis Verbis (In a Few Words) e-card series reviews the current management, knowledge, and challenges in aneurysmal subarachnoid hemorrhage (SAH).

PV Card: Subarachnoid Hemorrhage


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Edlow J, Malek A, Ogilvy C. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008;34(3):237-251. [PubMed]
By |2021-10-19T19:03:54-07:00Mar 5, 2010|ALiEM Cards, Neurology|
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Great teaching video: Cell and flare

SlitLamp-1

Using the slit lamp can be a challenge to learn, especially if you haven’t seen pathology before. In checking for anterior uveitis (i.e. iritis), you need to look for “cell and flare”. In theory, you know that you are looking for inflammatory cells and “flare”, which resembles a light beam being filtered through smoke.

(more…)
By |2019-01-30T11:38:44-08:00Mar 2, 2010|Ophthalmology|
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Paucis Verbis card: NIH Stroke Scale

StrokePatients present with acute strokes to the Emergency Department. Time is of the essence to obtain a rapid neurologic exam, draw labs, get CT imaging, and consulting a neurologist especially if the patient presents within 3 hours of onset. To help the neurologist determine whether the patient should get thrombolytics, calculating a NIH Stroke Scale score is useful.w

In this installment of the Paucis Verbis (In a Few Words) e-card series, here is the NIHSS scoresheet.

Score 0No stroke
Score 1-4Minor stroke
Score 5-15Moderate stroke
Score 16-20Moderate-severe stroke
Score 21+Severe stroke

PV Card: NIH Stroke Scale


Go to ALiEM (PV) Cards for more resources.

By |2021-10-19T19:07:03-07:00Feb 26, 2010|ALiEM Cards, Neurology|
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Paucis Verbis card: Ankle fractures

Lauge-Hansen Classification of Ankle fracturesAnkle fractures are a common injury diagnosed in the Emergency Department. Being able to speak Ortho-ese (i.e. the language of orthopedists) is invaluable in consulting the orthopedist over the phone. One ankle fracture classification system that our orthopedists like to use is the Lauge-Hansen system.

PV Card: Lauge-Hansen Classification of Ankle Fractures


Go to ALiEM (PV) Cards for more resources.

By |2021-10-19T19:08:02-07:00Feb 19, 2010|ALiEM Cards, Orthopedic, Radiology|
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Paucis Verbis card: Urinary tract infection

UrineDipsticksm

In this installment of the Paucis Verbis (In a Few Words) e-card series, the topic is Urinary Tract Infection. UTIs are one of the most common infections that we treat in the Emergency Department.

PV Card: Urinary Tract Infection


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Norris D, Young J. Urinary tract infections: diagnosis and management in the emergency department. Emerg Med Clin North Am. 2008;26(2):413-30, ix. [PubMed]
By |2021-10-19T19:10:04-07:00Feb 12, 2010|ALiEM Cards, Genitourinary|
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Beware the hidden tibia plateau fracture

TibialPlateau2vsmFind the fracture in this patient with blunt knee trauma.

As a general rule, plain films are insensitive in ruling out orthopedic injuries. One particularly tricky area is the knee. This 2-view knee series above is normal.

Did you know that the sensitivity of picking up knee fractures is as low as 79% with a 2-view series and 85% with a 4-view series? With the advent of CT imaging, more and more subtle fractures are being found.

By |2016-11-11T19:01:36-08:00Feb 11, 2010|Orthopedic, Radiology|
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