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the County Consult

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

Source: Image by benzoix on Freepik

PharmD Pearls - The Quiet Guardians in PTA

April 6, 2024

The presentation of patients with peritonsillar abscesses can range from uncomfortable to respiratory distress and failure. Although antibiotics and I&D will result in definitive management of the process, both require time. Thankfully, the administration of steroids is one thing that can buy you time. Here, our emergency department clinical pharmacist and a student pharmacist review a pharmacologic method of protecting a patient’s airway in those with PTAs.

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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The Heart of the Matter - An Inferior Myocardial Infarction

March 31, 2024

The Case:

A 72yo M presents via EMS for chest pain that started while chopping wood. Initially, an ECG was sent by EMS en route with concern for ST-segment elevation. 324 mg PO aspirin and 400 mcg of sublingual nitroglycerin were administered prior to arrival. Vitals per EMS were notable for bradycardia and hypotension.

Stewart Pine, MD

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In Cardiology Tags Cardiology
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Source: Photo by Robina Weermejier on Unsplash

The Cheese - Systemic Lidocaine for Renal Colic

March 24, 2024

Renal colic can be insufferable for patients and physicians alike. Although NSAIDs are typically sufficient, you will with some frequency encounter individuals where NSAIDs and possibly even opioids aren’t enough. Here, we review alternatives to managing pain related to renal colic.

Vladimir Bernstein, MD

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In Pharmacology Tags Pharmocology
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