#emergency physician

[taimoorkhan]

Myocarditis in Emergency Practice

Myocarditis, an inflammatory condition affecting the heart's myocardial tissues, is a significant cause of sudden cardiac death and dilated cardiomyopathy. With diverse etiologies ranging from viral and immune-mediated causes to toxic exposures, diagnosing and managing myocarditis can be challenging. In this blog post, we will explore the important points regarding the etiology, pathophysiology, presentation, diagnostic testing, and treatment options for myocarditis, with a focus on the perspective of emergency physicians.

Myocarditis can be caused by infectious agents (bacterial, parasitic, viral), immune-mediated conditions, and toxic exposures. Viral causes include enteroviruses, influenza, hepatitis viruses, HIV, herpes viruses, and Parvo B-19. Immune-mediated causes include systemic lupus erythematosus (SLE), scleroderma, and giant cell types. Toxic agents such as doxorubicin, antiretroviral medications, clozapine, and cocaine can also trigger myocarditis.

Myocarditis follows a three-step process. In the acute phase, infectious, autoimmune, or toxic agents directly damage cardiac myocytes. Subsequent myocyte destruction triggers immune system activation and secondary inflammation. In the later stages, the immune system mistakenly attacks the myocytes themselves, leading to progressive myocardial damage.

Myocarditis presents with a wide range of symptoms, necessitating a high index of suspicion for timely diagnosis. Symptoms may include dyspnea, palpitations, orthopnea, and chest pain. Dyspnea is the most common presenting symptom, while chest pain can vary from pleuritic to anginal. Patients may exhibit symptoms of congestive heart failure, ranging from fatigue and peripheral edema to cardiovascular collapse. Skin manifestations can be present in cases triggered by medication exposure.

Diagnostic testing for myocarditis overlaps with other cardiopulmonary evaluations. Electrocardiogram (ECG) abnormalities, such as sinus tachycardia, ST-segment elevations, T-wave inversions, AV blocks, widened QRS durations, or prolonged QT intervals, may be observed. Troponin assays may be elevated, but their absence does not rule out myocarditis. Additional blood tests, including CBC, CRP, and ESR, are often abnormal but nonspecific. Imaging studies like chest radiography and echocardiography can provide valuable information.

TThe treatment of myocarditis primarily focuses on supportive care to prevent further damage to the heart. Stabilizing the patient's ABCs (airway, breathing, circulation) is the priority. Supplemental oxygen and non-invasive positive pressure ventilation may be required for hypoxia or pulmonary edema. Heart failure therapy, including diuretics and nitroglycerin, can be administered if systemic perfusion allows. Cardiac dysrhythmias may necessitate treatment with antidysrhythmic medications. Antimicrobial therapy is required for cases associated with bacterial or parasitic infections. In severe cases, advanced interventions such as intra-aortic balloon pumps, extracorporeal membrane oxygenation (ECMO), or ventricular assist devices (VADs) may be necessary.

Myocarditis presents a complex diagnostic and management challenge for emergency physicians. The diverse etiologies, varied clinical presentations, and overlapping diagnostic tests make timely diagnosis crucial. Supportive care, stabilization, and targeted interventions are key elements of treatment. While further research is needed to refine diagnostic and therapeutic approaches, understanding the etiology, pathophysiology, presentation, and treatment options can aid emergency physicians in effectively managing myocarditis cases.

[k-star-holic]

So Joo-yeon Suspicious of a real relationship with Kim Min-jae, now a steamy family (Master Kim3)

[gleneaglesglobalhospitallbnagar]

Emergency Physician - Aware Gleneagles Global Hospital

Department of Emergency, Acute Care Medicine and Trauma at Aware Gleneagles Global Hospitals, L.B.Nagar Hyderabad

Emergencies can strike at any moment, but our readiness to tackle them defines the outcomes. Situations like automobile accidents, cardiac arrests, food poisoning, burns, drug overdoses, strokes, and many more require immediate medical intervention. At Aware Gleneagles Global Hospital, L.B.Nagar Hyderabad, our Department of Emergency Medicine stands equipped and ready to provide world-class emergency care services. With a renowned team of emergency physicians and state-of-the-art infrastructure, we are recognized as the best emergency hospital in Hyderabad.

Emergency Care: A Seamless Chain of Intervention

Emergency care doesn't merely begin at the hospital doorsteps. Our protocol for emergency medical services covers a spectrum, starting from the exact location of the incident through to professional medical care during transit and comprehensive treatment within the hospital. Our specialized team of ambulances, trained drivers, and paramedics ensure that quality emergency care starts the minute they arrive at the patient's location.

Why Should Aware Gleneagles Global Hospital L.B.Nagar Hyderabad is Your First Choice for Emergency Services?

Qualified Team: The Department of Emergency Medicine at Aware Gleneagles Global Hospitals, L.B.Nagar Hyderabad, is fortified with an elite group of emergency physicians. Our team is skilled to offer rapid and effective care for diverse health emergencies.

Cutting-edge Infrastructure: Equipped with the latest tools and technology, we're prepped to handle any emergency surgical procedures efficiently.

Swift Emergency Response: Our network ensures quick transit from the location of the incident to the hospital, aided by our advanced emergency medical services.

24x7 Vigilance: With a committed team of nurses and emergency physicians, our monitoring and care are non-stop, making us a trusted name for 24/7 medical services near you.

World-class Protocols: Our methods and protocols are benchmarked against the best, ensuring top-notch emergency medical services at every step.

Diagnosis: The Crucial First Step

Our advanced diagnostic capabilities form the backbone of our emergency treatments. Rapid and precise diagnosis aids our emergency physicians in determining the best course of action. Key diagnostics include:

X-Ray: Fundamental for detecting fractures and internal injuries.

CT Scans & MRI: Advanced tools for a deeper examination of internal organs and tissues.

ECG: Essential for mapping heart activity, especially vital during cardiac emergencies.

Comprehensive Emergency Treatments at Aware Gleneagles Global Hospital

Automobile Accidents: Ranging from minor to severe traumas, we're equipped to address all emergencies arising from vehicular accidents.

Cardiac Emergencies: We specialize in treating acute cardiac conditions, ensuring timely intervention during critical moments.

Food Poisoning: Rapid diagnosis and treatment to combat complications arising from food contamination.

Burn Treatments: Our specialized care includes treatment for all burn degrees, including necessary cosmetic interventions.

Drug Overdose: Time-sensitive interventions to combat the lethal repercussions of drug overdoses.

Stroke Management: Comprehensive care for stroke, whether ischemic or haemorrhagic, ensuring swift intervention to minimize damage.

At Aware Gleneagles Global Hospital L.B.Nagar, Hyderabad, our commitment to excellence in emergency care is unwavering. Our continuous aim is to provide unparalleled medical services, making us the preferred choice for those searching for the best emergency hospital in Hyderabad. Your safety and health are our utmost priority. In emergencies, every second count, and we ensure each one is utilized optimally.

Address: Address: 8-16-1, Nagarjuna Sagar Rd, Laxmi Enclave, Bhagya Nagar, Bairamalguda, L B Nagar, Hyderabad, Telangana India

Phone.no: 9840911421

Pin code: 500035

Website: https://awaregleneaglesglobalhospitallbnagar.com/top-best-specialities/emergency-acute-and-trauma-care-services/

#best Emergency hospital in Hyderabad #Emergency Physician

#24 7 near me #Emergency medical services

[heard-in-the-emergency-room]

[sesamenom-misc]

brief survey

*common symptoms include:

physiological - lingering chest pain, shortness of breath, lingering cough, heart palpitations, abnormal heart rate

neurological - brain fog, general cognitive decline, fatigue, language/word retrieval issues, short term and long term memory issues, abnormal executive dysfunction, difficulty concentrating, exacerbation of pre-existing depression or anxiety

**if you first contracted covid before vaccines were available, you can count it as unvaccinated

[drdessertfox]

Life Updates

So, Missouri passed a law that HOAs can not ban chickens so naturally that meant I went and got chickens.

This one is Aelin. I think she fantasizes about murder based on her expressions.

I switched to working full time at my rural site because the urban site was causing me constant stress due to staffing issues, patient volume, and acuity. Safe to say I’m much happier now.

My second child is now crawling which is fun but terrifying because I’m constantly having to pick up choking hazards that my toddler has tossed on the ground.

Sometimes I go back through some of my older posts and I can’t believe I had the energy to post some of the guides I wrote out. It’s sad to see tumblr sadly die but hey, it’s still here for now!

[tor1su]

...broke ass

[alwaysbewoke]

[witchblade]

AUDIENCE PARTICIPATION SEGMENT

is this survivable please press 1 for yes 2 for no. that's 1 for yes, 2 for no. If you need further assistance, please press 3.

[brooklynpa-c]

WHEN THE HOSPITAL SERVER CRASHES AND WE HAVE A WEEK OF PAPER CHARTING

[taimoorkhan]

Slipped rib syndrome, also referred to as Cyriax syndrome, is a rare medical condition that is characterized by discomfort in the upper abdomen or lower chest area. The source of this discomfort can be attributed to excessive movement of the cartilage in the ribcage, and in this article, we will explore a number of complex factors related to this ailment, including its epidemiology, clinical presentation, pathology, radiographic features, treatment, and prognosis.

It is worth noting that slipped rib syndrome is not limited to a specific age group, but it is more commonly observed in individuals in their middle years. While this condition can cause recurring pain in adolescents, it is less common in young children due to the flexibility of their ribcages. Furthermore, there is no clear gender preference for slipped rib syndrome.

In terms of its clinical presentation, slipped rib syndrome can manifest as intermittent sharp stabbing pain in the back or upper abdomen, accompanied by a dull aching sensation. Patients may experience unusual sensations such as clicking or popping in the lower ribs, and certain movements like twisting, turning in bed, lifting, and bending can exacerbate symptoms. When examining the affected area, a tender spot on the costal margin is typically detected, and this is associated with the specific pain that patients experience. Furthermore, the hooking manoeuvre, which involves placing the fingers in the subcostal region and pulling in an anterior cranial direction, can also reproduce this pain. While most cases of slipped rib syndrome occur unilaterally, bilateral cases can occur.

The pathology of slipped rib syndrome is not completely understood, but it is believed that trauma, injury, or surgery may be contributing factors, although cases without these issues have been reported. The condition is thought to result from hypermobility of the rib cartilage or ligaments, with ribs 8, 9, and 10 being particularly affected. This movement can irritate the nerves and potentially strain intercostal muscles in the area, leading to inflammation and pain.

While the diagnosis of slipped rib syndrome is often made based on clinical examination, imaging may be necessary to rule out intrathoracic or intra-abdominal pathologies. Dynamic ultrasound may be used to demonstrate slipping of the costochondral area of the rib.

Treatment for slipped rib syndrome generally involves pain relief and modifying activity, and local anaesthetic intercostal nerve block injections or corticosteroids can be helpful in alleviating discomfort. In cases where pain is persistent or severe, surgical interventions such as costal cartilage excision or minimally invasive repair may be required, although the former may not necessarily prevent the recurrence of late pain. While slipped rib syndrome can be debilitating due to the severity of pain, it does not typically result in any serious complications.

It is important to keep in mind that differential diagnoses such as cholecystitis, oesophagitis, gastric ulcers, stress fractures, muscle tears, pleuritic chest pain, costochondritis, Tietze syndrome, and bone metastases should be considered.

It is worth noting that slipped rib syndrome is a frequently underdiagnosed condition. By being aware of this ailment, it is possible to prevent a delay in diagnosis and avoid unnecessary

laboratory and radiological investigations.

[k-star-holic]

⁇ So Joo-yeon ⁇ Ahn Hyo-seop ⁇ Lee Sung-kyung and Jubilee Battle? ⁇ Kim Min-jae ⁇ Baby, why do not you look at it?

[gleneaglesglobalhospitallbnagar]

24/7 near me - Aware Gleneagles Global Hospital

Aware Gleneagles Global Hospital's L.B.Nagar Hyderabad Department of Emergency, Acute Care Medicine, and Trauma: At the Forefront of Emergency Care in Hyderabad

Emergencies are unpredictable and can strike at any moment, from automobile accidents and cardiac arrests to falls and drug overdoses. When these dire situations arise, the excellence and swiftness of medical care become paramount. At Aware Gleneagles Global Hospital L.B.Nagar Hyderabad, our Department of Emergency Medicine, backed by a dedicated team of emergency physicians, stands tall, offering state-of-the-art care; ensuring patients receive the highest quality attention during their most vulnerable moments.

Emergency Care: A Holistic Approach

Emergency care doesn't merely begin at our hospital's doorstep; it encompasses a broader range of actions. Our commitment is to the complete spectrum of emergency care:

On-site & In-Transit Care: With a specialized fleet of ambulances, adept drivers, and expert paramedics, we initiate immediate emergency responses from the very location of the incident, ensuring that care starts even before the patient reaches our facility.

Reasons to Entrust Us with Emergency Care:

Premier Team of Specialists: Our world-class team of emergency medicine experts, including emergency physicians, are trained to address and manage a diverse range of critical health emergencies.

Cutting-Edge Infrastructure: From advanced surgical equipment to state-of-the-art medical devices, our infrastructure is designed for swift, efficient, and precise emergency interventions.

Rapid Response Protocols: Our commitment is to minimize the golden hour. With rapid transit systems and protocols in place, we ensure patients are transported from the site of incidence to our facility promptly.

Dedicated and Vigilant Nursing Team: Our nursing staffs, ever vigilant, offer round-the-clock monitoring, ensuring continuous care and immediate response to any changes in the patient's condition.

In the realm of emergencies, every second can be pivotal. Aware Gleneagles Global Hospital L.B.Nagar Hyderabad, recognized as the best emergency hospital in Hyderabad, is fortified with a robust emergency care framework. Whether you're seeking an emergency physician, 24/7 medical attention, or comprehensive emergency medical services, remembers: We are ever-prepared to stand by your side, offering unparalleled care during your most critical moments.

Address: 8-16-1, Nagarjuna Sagar Rd, Laxmi Enclave, Bhagya Nagar, Bairamalguda, L B Nagar, Hyderabad, Telangana India

Phone.no: 9840911421

Website:https://awaregleneaglesglobalhospitallbnagar.com/top-best-specialities/emergency-acute-and-trauma-care-services/

#best emergency hospital in Hyderabad #24/7 near me

#emergency medical services #emergency physician        

[heard-in-the-emergency-room]

(Nurse looking up the policy for a patient that wants to be a DNR, but having trouble finding it)

Where there’s a will, there’s a policy

[2024skin]

can't decide if I want to be a gynecologist or if I want to marry one