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Death Pronouncement: Declaring someone dead.

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

“Death is usually an easy diagnosis. If death is uncertain, lack of pulse, breath sounds, and heartbeat will usually suffice.” Stanford Palliative Care Pronouncement Procedure Clinical Examination The patient was identified by checking the hospital ID...

Death: Diagnosis of Brain Death

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

*** https://www.aan.com/Guidelines/Home/GetGuidelineContent/815. This page from the American Academy of Neurology gives an approach for determining brain death. Determining Brain Death in Adults. This is the same article. Brain death means the permanent absence of...

Disposition

Hospital A/P, Adults, Hospital A/P, Peds

Admission Criteria to Acute Rehab, Subacute Care, and...

Orthostatic Hypotension

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

Differential diagnosis reviewed. Orthostatic vitals. Medication review was done. All offending medications discontinued. Patient instructed to take offending meds that can’t be discontinued at bedtime, e.g. BP medications. Head-up tilt-table testing. Patient...

Stroke, Hemorrhagic

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

-Initial CT shows hemorrhage. -Will repeat CT (at least once) to ensure that the bleed is not increasing. -Neurological surgery consulted. -Will keep SBP between 110-140 -Swallow eval by Speech therapy -PT / OT as needed -Frequent neuro checks ** See Ischemic stroke...

Hypercoagulable States Workup

Clinic A/P, adults, Clinic A/P, Peds, HEMATOLOGY-ONCOLOGY, Hospital A/P, Adults, Hospital A/P, Peds

***Proteins C, S and ATIII levels are affected by acute thrombosis and anticoagulation. Therefore, it’s best to check levels at least two weeks after completing the anticoagulation course. Hereditary Factors Hypercoagulable State Initial Workup Test Confirmation...
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