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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Source: Image by storyset on Freepik

PharmD Pearls - Vitamin Morning Cocktail!

February 15, 2024

Thiamine repletion for patient’s with alcohol use disorder is a low-cost, high-reward intervention. Studies have found if an ED physician does not start thiamine, patient’s admitted for a complication of alcohol use are less likely to receive thiamine on their admission. Here, our emergency department clinical pharmacist and a student pharmacist review dosing of thiamine for those with alcohol use disorder

Aonyea Spinks-Boykins, P4 Pharmacy Student, MWU Doctor Pharmacy Candidate and Joanne Routsolias, PharmD

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In Pharmacology Tags PharmD Pearl, Pharmocology
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Figure 1. Index ECG notable for sinus tachycardia with S1 Q3 T3 pattern.

The Heart Of The Matter - A Case Shortness of Breath with Pleuritic Chest Pain

February 2, 2024

The Case:

A 58-year-old M with no reported PMHx presenting with shortness of breath and the following ECG. The patient endorses 1 week of exertional dyspnea that evolved to include pleuritic chest pain one hour prior to arrival. He had severe shortness of breath on awaking. He denied hemoptysis, lower extremity edema, calf pain, history of VTE, hormone use, recent surgery, or prolonged immobility.

Jose Reyes, MD

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In Cardiology Tags Cardiology
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MS4 Infographic - Angioedema

January 21, 2024

A structurally difficult airway is something an emergency physician would prefer to avoid, and angioedema is one of the most infamous causes of a difficult airway. Here, we discuss the evaluation and management of angioedema beyond more than the procedural management.

Karlee De Monnin, MS4

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In HEENT, Pharmacology Tags Pharmocology, HEENT
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