Sign Out Pearls

Sign Out Pearls: A 5 to 10 minute presentation prepared for evening sign outs Mondays through Thursdays. Posts are evidence-based and curated by IM Residents. They do not reflect the views of our hospital and should not replace medical advice.

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Latest Posts

How do you work up a CODE CVA?

A 63-year-old female with significant PMhx HTN, HLD, IDDM, CAD has been in the hospital for 3 days for uncontrolled hyperglycemia. The patient’s nurse calls you at 8 PM and reports patient appeared acutely altered. You are on your way when the pager goes off, it’s a CODE CVA in that patient’s room. Upon examination,…

What are indications for a permanent pacemaker?

An 81-year-old male with significant past medical history of CAD s/p single-vessel CABG, aortic stenosis s/p TAVR, atrial fibrillation on Coumadin presented to the ED after a syncopal episode. He described “blacking out” during ambulation without seizure-like activity. In the ED, he was found to be in sinus bradycardia with a heart rate in the…

How do you work-up FUO?

So you have determined that your patient meets criteria for a fever of unknown origin (FUO). How? See Part 1 of this post. Now how do you further work up FUO and rule out a broad list of differentials? What about antipyretic, anti-inflammatory or antibiotic management in the interim? Let’s dive in. Recall the “intelligent”…


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