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Clinical Question: What is the best treatment for acute dyspepsia?

In Clinical Questions, Medical Concepts by Colin Siu0 Comments

The Case: Tummy Ache? Piece of Cake! A 26-year-old woman presents with epigastric pain after consuming a large piece of cake. She describes that she had previously been diagnosed with heartburn by her family doctor and was on a heartburn medication but stopped taking it when she went on vacation. She denies associated chest pain, shortness of breath, and changes in bowel habits. She describes the pain as a 7/10 sharp stabbing pain. She is otherwise …

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TREKK Series | Intussusception

In Guidelines, Medical Concepts by Ashley Lubberdink0 Comments

An 18 month female named Ella presents to the ED with a 1-day history of multiple intermittent episodes of abdominal pain (lasting ~5-10 minutes each) where she pulls into a knee-chest position, in addition to episodes of non-bloody, non-bilious emesis after her last 3 meals. Her appetite has been poor. Her bowel movements have been normal, with no diarrhea or hematochezia. There have been no unusual ingestions, no sick contacts, and no recent …

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Tiny Tips: Canadian CT Head Rule

In Medical Concepts, Tiny Tips by Omar Anjum0 Comments

“But Doc, I didn’t hit my head THAT hard” Computed tomography (CT) scans are frequently performed after a head injury to rule out acute intracranial findings. However, most Emergency Department patients with a head injury have no acute CT findings. The Canadian CT Head Rule (CCHR) was developed to help clinicians determine when to order a CT image for patients with minor head injury.1 In 2010, a multi-centre prospective trial implemented the CCHR and …

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Clinical Ultrasonography 101: Seeing Clearer with Ocular Ultrasound

In Medical Concepts by Puneet Kapur0 Comments

Ever feel frustrated with your eye exam? Confused by the slit lamp and even more distressed at the thought of doing funduscopy? Point-of-care ultrasound (POCUS) is taking over emergency medicine and can definitely help improve your eye evaluation. The eye is an ideal structure for viewing with ultrasound since it is a superficial structure that is conveniently filled with fluid. However, the spherical three-dimensional structure of the ocular globe can be confusing when …