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Cardiac – Anesth – ENT – Endocrine – GI – ID – Neuro – OB/Gyn – Ophth – Ortho – Pulm – Peds – Pharm – Rad – Renal – Tox – Trauma – Vasc – Myths

 

CARDIAC

 

Aminophylline for high grade heart block

ASA & warfarin in ACS

ASA dosage on platelet activity

ASA timing in ACS

BNP & differentiating dyspnea etiology

BNP & future cardiac events

Broken heart syndrome

Calcium-channel blockers as 1st line antihypertensive agents

Cardiac markers in ESRD

Characteristics of AMI without chest pain

CHF prognosis

CK doubling in ACS

Clopidogrel for ACS

Diagnosing AMI in LBBB

Glycoprotein inhibitor for ACS

High-dose epi in peds arrest

Is this patient having an MI?

MI incidence in cocaine CP

Missed MI in the ED

Moratorium on SL nifedipine

Nesiritide vs NTG in CHF

NTG in pulmonary edema

Patients’ description of chest pain with & without MI

PE in PEA

Pressure support ventilation for pulm edema

Procainamide vs lidocaine

Prognosis of normal ECG

Rapid rule-out for MI in the ED

Syncope prognosis

Thrombus in AFlutter

Treatment of cocaine CP

Use of thrombolytics in the elderly

Vasopressin vs epi

Wellens’ syndrome

 

ANESTHESIA

 

Etomidate for procedural sedation

 

EARS, NOSE, THROAT

 

Cream for epistaxis

Docusate for cerumen impaction

Meds for ear bugs

Steroid for pharyngitis

Treatment principles for respiratory tract infections

 

ENDOCRINE

 

Cerebral edema risk factors in pediatric DKA

Urine dip ketones as screen for DKA

VBG vs ABG for acidosis

 

GASTROINTESTINAL

 

Analgesics for abdominal pain

Appendiciditis in the pregnant patients

CT for appendicitis

CT for pediatric appendicitis

Ketorolac for biliary colic

Lipase vs amylase for pancreatitis

Loperamide for diarrhea

Ranson’s criteria for pancreatitis

WBC count in acute appendicitis

 

INFECTIOUS DISEASE

 

Abx for acute exacerbation of chronic bronchitis

Accuracy of meningeal signs

Bacterial analysis of dog & cat bites

Blood culture for cellulitis

Community MRSA emergence

Dexamethasone in adult meningitis

EGDT in sepsis

Incidence of SBI in children with RSV

Lyme prophylaxis

PO vs IM dexamethasone for croup

Sore throat treatment options

Sputum culture in CAP

Treatment principles for respiratory tract infections

 

NEUROLOGY

 

Accuracy of CT interpretation in CVA

Antiemetics for treatment of migraines

ASA vs heparin in CVA

ASA vs LMWH in CVA w/ Afib

ASA vs warfarin in CVA

Dexamethasone for migraine recurrence

HTN & HA

Hypertonic saline for TBI

IOP & ICP

Syncope prognosis

Thrombolysis for CVA

Thrombolysis for CVA – the community experience

TIA prognosis

                       

OBSTETRICS/GYNECOLOGY

 

Abx & OCP

Management of 1st trimester miscarriage

Outpatient Tx of PID

Ovarian torsion

 

OPHTHALMOLOGY

 

Effects of pepper spray

IOP & ICP

Patching for corneal abrasion

 

ORTHOPEDICS

 

Diagnosis of rotator cuff tears

Pre-reduction X-rays of shoulder dislocation

 

PULMONARY

 

ABG in PE

Alteplase for submassive PE

CAP admission prediction rule

COPD & V/Q

D-dimer & alveolar dead space in PE

D-dimer & PE location

Dexamethasone vs prednisone in asthma

Differentiating dyspnea etiology

Early methylprednisolone in asthma

Impact of availability of D-dimer

MRA for PE

NTG in pulmonary edema

PE symptoms

Pressure support ventilation for pulm edema

Sputum culture in CAP

Treatment principles for respiratory tract infections

 

PEDIATRICS

 

Alternating antipyretics

Cerebral edema risk factors in pediatric DKA

High-dose epi in peds arrest

Incidence of SBI in children with RSV

Loperamide for diarrhea

Mist in croup

Occult bacteremia in pediatric fever

PO vs IM dexamethasone for croup

Predictor of meningitis in Hib vaccine era

Rectal acetaminophen

 

PHARMACY

 

Abx & OCP

Acetaminophen vs ibuprofen for DJD

Alternating antipyretics

ASA for ACE inhibitor-induced cough

Beta-blockers use in diabetics

Diphenhydramine with prochlorperazine

Droperidol & QT prolongation

Epi in digital blocks

Moratorium on SL nifedipine

No placebo w/ IM pain med

Penicillin – cephalosporin cross reaction

Procainamide vs lidocaine

Prochlorperazine versus promethazine

Rectal acetaminophen

Vasopressin vs epi

 

RADIOLOGY

 

Acetylcysteine for prevention of  contrast-induced nephropathy

CT for appendicitis

CT for carotid stenosis

CT for pediatric appendicitis

CT in BAT

Duplex for temporal arteritis

MRA for PE

 

RENAL

 

Acetylcysteine for prevention of  contrast-induced nephropathy

Bicarb for prevention of contrast-induced nephropathy

Ketorolac for renal colic

Renal effect of low-dose dopamine

Urine dip for hypertensive nephropathy

 

TOXICOLOGY

 

Excess warfarin management

MI incidence in cocaine CP

PO vs SC vitamin K for high INR

Timing of activated charcoal in OD

Treatment of cocaine CP

 

TRAUMA

 

3hr CXR for PTX in penetrating injury

Accuracy of ATLS pulse check

CHI in anticoagulated patients

Closure of dog bite wounds

CT in BAT

Hypertonic saline for TBI

NEXUS criteria for cervical spine

Physical exam after spinal immobilization

Rectal exam in trauma

Scalp & facial wounds

Spine movement during airway management

Steroids in SCI

 

VASCULAR

 

Aortic dissection registry

Duplex for temporal arteritis

Temporal arteritis

 

MEDICAL MYTHS – A collection from the Western Journal of Medicine