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Boring Question: Fecal Leukocytes. Eh?

What are Fecal Leukocytes? Exactly what they sound like – white blood cells in liquefied poop. They can represent an inflammatory cause of diarrhea (acutely from infection or from an initial presentation of inflammatory bowel disease).

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Tiny Tip for Acute Visual Loss: CAN U GO STARE at HIM

Acute visual loss is distressing to patients of any age. A careful history and physical exam alone may help direct you to the diagnosis in most cases. However, when the cause isn’t immediately obvious, it is helpful to have an approach to go to for considering all of the possibilities. If you’re a Canadian EM resident studying for your Royal College exams, you might also want to have this available for quick recall. Mnemonic …

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Tiny Tip: The NBG Pacemaker Code

Pacemaker codes. After our exams are over we do not think about them very often. However, they’re still a useful thing for us to understand when talking to educated patients and our colleagues. Unfortunately, their 5 letter code isn’t the easiest thing to remember.

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Boring Question: What is the role of the FAST exam for blunt abdominal trauma?

You are working an overnight shift in the emergency department when a 40 year-old male passenger involved in a high-speed motor vehicle collision arrives. His vital signs include a blood pressure of 88/56 mmHg, heart rate of 112, and respiratory rate of 16. His Glasgow coma score is 12 (3E, 4V, 5M). En route, your patient received 2L of normal saline with no change in his blood pressure. On exam, his abdomen is tender …