Author: markgsunga

How do you evaluate patients before surgery?

A 70-year old female presents to the ED for evaluation of left hip pain after a mechanical fall. X-ray shows a nondisplaced femoral neck fracture. After bedside evaluation, the Orthopedic team would like to plan for surgical correction with open reduction internal fixation (ORIF). Her past medical history is significant for CAD s/p 3-vessel CABG … Continue reading How do you evaluate patients before surgery? →

Do you start AEDs on a first time seizure?

A 36 y/o male with PMHx of IDDM is admitted to ICU for DKA and subsequently has a first time seizure. After resolution of what does appear to be a seizure and not a convulsive syncopal event, do you start this patient on an anti-epileptic drug (AED)? This answer is one of a few questions … Continue reading Do you start AEDs on a first time seizure? →

For PAD, what is the recommended antithrombotic therapy?

Before diving into the latest recommendations on antithrombotic therapy management of Peripheral Arterial Disease (PAD), a quick review: Diagnosis of Lower Extremity PAD The vascular testing work up varies based on whether they are symptomatic or asymptomatic.For Asymptomatic, use a formal Ankle-Branchial Index (ABI) to confirm (more Sn/Sp than a bedside ABI for assessing location … Continue reading For PAD, what is the recommended antithrombotic therapy? →

How are we managing CAP in 2019?

In 2019, the American Thoracic Society/Infectious Disease Society of America (ATS/IDSA) revised their guidelines towards the evaluation and management of Community Acquired Pneumonia (CAP). Regardless of the criticisms regarding the quality of evidence, there are quite a few recommendations I think are worth noting for my co-residents. Evaluation First, recall 2007 recommendations on classifying CAP … Continue reading How are we managing CAP in 2019? →