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Pressure Ulcers / Wound Care

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Clean with either saline or tap water and cover with hydrocolloid foam or another non-adherent dressing that promotes a moist environment. -Don’t clean with povidone/iodine, Dakin’s solution, hydrogen peroxide, wet-to-dry dressings, or any solutions that may...

Kawasaki Disease (Typical and Atypical)

Clinic A/P, Peds, Hospital A/P, Peds

Background Kawasaki disease (KD), also called Mucocutaneous Lymph Node Syndrome, is an acute, systemic vasculitis of small and medium-sized arteries. “KD is characterized by systemic inflammation in all the medium-sized arteries and in multiple organs and...

Testicular Torsion

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Diagnosis Treatment Immediate urologic consultation for surgical exploration.   “Surgical exploration is the immediate priority, with ischemic damage starting between 4 and 8 hours after onset. Attempts at manual detorsion should not delay surgical...

Acute High Altitude Sickness

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Acute high altitude Sickness (High Altitude Sickness) is the umbrella term for 3 different conditions that can happen when a person ascents to altitudes ≥2500 m. Acute Mountain Sickness (AMS) High-Altitude Pulmonary Edema (HAPE) High-Altitude Cerebral Edema (HACE)...

IgA Vasculitis (Formerly Henoch-Schönlein purpura)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Background Immunoglobulin A vasculitis (IgA vasculitis, IgAV) was formerly called Henoch-Schönlein purpura (HSP). Pathophysiology: In IgA vasculitis, IgA immune complexes are deposited in small vessels. When that happens in the skin, we see petechiae and palpable...

Angioedema due to an ACE inhibitor

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Diagnosis H&P: Typical presentation: Patient was started on Lisinopril. A few hours after taking the first dose, he shows up to the ER with facial, lip, tongue edema, tightness in his throat that has been gradually progressing over the last few hours. He has some...
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