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Horses and ZebrasMorning Report ... and more... at the Toronto General Hospital
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Morning Report ... and more... at the Toronto General Hospital
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Horses and Zebras: October 2013
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Morning Report . and more. at the Toronto General Hospital. Thursday, October 31, 2013. Quick post today from morning report where discussed a patient with a hematologic malignancy post chemotherapy presenting with fever and an absolute neutrophil count (ANC) of 0.3. Remember that Febrile Neutropenia is a syndrome, not on its own a diagnosis, and we still need to do our job to find the cause/source. Definition of Febrile Neutropenia is:. Fever 38.3 x 1 or 38 on multiple occasions (ie 1 hour apart). Gram ...
Horses and Zebras: May 2015
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Morning Report . and more. at the Toronto General Hospital. Thursday, May 21, 2015. Everyone has a different approach to this problem and categorizes diseases in different ways. It is important to choose one classification system and stick with it. What can be confusing about the Nephritic vs Nephrotic diseases is that there is significant overlap in their presentations, including the degree of proteinuria seen in disease. Here is a helpful and simple approach to the problem:. Low C3, Normal C4; ASOT.
Horses and Zebras: December 2014
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Morning Report . and more. at the Toronto General Hospital. Tuesday, December 2, 2014. High blood pressure is defined by a BP 140/90. The flow chart for the diagnosis. Of HTN can be complication, but basically the diagnosis is often made over the course of 3 ambulatory clinic visits. HTN is defined by a BP greater than 140/90. Beware of two entities:. 1 White Coat HTN: BP greater than 140 in the clinic but less than 135 via ABPM (should not treat as HTN). 3 Fasting glucose and/or glycated hemoglobin (A1c).
Horses and Zebras: Mitral Regurgitation
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Morning Report . and more. at the Toronto General Hospital. Sunday, March 22, 2015. Mitral regurgitation is a common valvular problem seen on the medical wards. The valve is named after a mitre, the headgear worn by bishops, due to its resemblance. Here's a quick review of the management of this valvular problem. Primary causes: MVP, rheumatic disease, IE, trauma, myxomatous changes. Secondary: Ischemia, HCM, LV dilation, other valvular lesions (AS, AI). Arterial pulse is brisk. Assess hemodynamics and s...
Horses and Zebras: August 2014
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Morning Report . and more. at the Toronto General Hospital. Sunday, August 24, 2014. During morning report this past week, we were introduced to a patient with severe alcoholism who presented with a hemoglobin of 24 g/L due to B12 deficiency, whose only presenting symptom was 'fatigue.' That's pretty low. Low enough to hear orbital bruits. It is important to note that it takes months to years to deplete one's Vitamin B12 stores as it did in this patient's case. Aside from the above mentioned finding of "...
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From the Desk of the Morning Reporter
From the Desk of the Morning Reporter: A guided tour of the Internet. Monday, June 10, 2013. From the Archives: King of All the Wild Things. Have you Googled anything today? If you've visited Google. You'll have noticed a special animated celebration for what would have been Maurice Sendak's 85th birthday. The animation begins with Max venturing off into Where the Wild Things Are, proceeds through the Night Kitchen, and ends in the Bumble-Ardy birthday party. And In the Night Kitchen. I felt it would be ...
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Index of /
Borborygmus
Morning Report at Mount Sinai Hospital. Friday, October 19, 2012. The following table summarizes the current Infectious Diseases Society of America (IDSA) Guidelines on the management of Clostridium difficile infections (Hint: click on the table to make it bigger):. It is borrowed from the recent succinct article by some of our own colleagues in Internal Medicine in Toronto, which you can find at this link. For the full set of guidelines, click on this link. Wednesday, September 12, 2012. Histopathology ...
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Horses and Zebras
Morning Report . and more. at the Toronto General Hospital. Friday, June 23, 2017. Last week we discussed an approach to bradycardia at morning report. When there is an abnormality in a vital sign, the first step is to ensure stability. Assess the ABCs, get monitors on, IV access. Bradycardia is defined as a heart rate less than 60 beats per minute. Ask yourself, is this unstable bradycardia? Go down the unstable bradycardia ACLS algorithm. How do you define unstable bradycardia? Two main question are:.
Tangents
Morning Report at the Toronto Western Hospital. Monday, October 24, 2016. Acute Chest Syndrome in Sickle Cell Disease. During Grand Morning Report, we briefly discussed a patient with sickle cell disease and a history of acute chest syndrome. This is a common complication of sickle cell disease and is a frequent cause of death in this patient population, making early diagnosis and treatment critical. What is acute chest syndrome? What causes acute chest syndrome? What else should be on the differential?
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Morning Review - Ideas for the Modern World
Don't start your day without a good morning review of the products and ideas that make your life a little easier. Coolest and best ideas ever! We Review the Best Products on the Internet that Pique Your Interest Before Your Morning Commute Starts. Get You FREE Home DNA Testing Kit Here. Read the full story. Get Call of Duty Ghosts – Best Review & Private Access. Read the full story. Posted in morning review. Human Computer Shakuntala Devi Honored by Google? In case you’ve been living under a rock a...
