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the County Consult

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

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PharmD Pearls - Are Loop Diuretics Safe in Those With a "Sulfa" Allergy?

May 1, 2024

“Sulfa” allergies are a commonly listed allergen. Each time we see this, we have to mentally or physically review the list of medications that contain “sulfa” as the many are not intuitive. Here, we evaluate whether non-antibiotic “sulfa” containing medications are safe to give those in patients with previous reactions to “sulfa” antibiotics.

Joanne C Routsolias, PharmD, RN, BCPS

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In Pharmacology Tags PharmD Pearl, Pharmocology
2 Comments

Figure 1. Index ECG notable for repolarization abnormalities of leads III and V2.

The Heart of the Matter - A Case of Recurrent Chest Pain

April 26, 2024

A 50-year-old male with a history of tobacco use disorder presents with 1 week of intermittent, central, pressure-like chest pain that lasts a few minutes at a time without clear exacerbating or relieving factors. He had a particularly severe episode just before arrival but is now pain free. The initial ECG is shown in Figure 1.

Samson Frendo, MD and Adam Roussas, MD

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In Cardiology Tags Cardiology
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The Cheese - When Less is More with Orthopedic Complaints

April 23, 2024

We’ve all been told to x-ray above and below the area in question. How much we do it varies, but we have all done it at one point, and rarely do I find an abnormality that was occult. Here we question when we can do less in a couple of orthopedic-specific issues.

Jose Reyes, MD

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In Orthopedics/MSK Tags Orthopedics/MSK
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