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This week's topic: Supraventricular tachycardia. Abrupt onset due to triggers such as stimulants, exercise, emotional stress, or metabolic conditions. Dx w/ EKG showing narrow QRS (blue), no P waves (green), and regular tachycardia (red). #emergencymedicine #MyEMCert #EMBoards

This week's topic: Tubo-ovarian abscess. A complication of PID that presents with unilateral adnexal pain, purulent vaginal discharge, and fever. Dx with ultrasound or CT of abdomen/pelvis which shows the abscess (yellow arrow) #emergencymedicine #EMBoards #MyEMCert #medtwitter

This week's topic: Left Ventricular Assist Device. Complication of hemorrhage is the most common reason for ED visit. DO NOT reverse anti-coagulation. LVADs are preload depended so manage hypovolemia appropriately. #emergencymedicine #EMBoards #MyEMCert #medtwitter

An excellent summary of left ventricular assist device in Dan Zumsteg's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: bit.ly/3CR4q5M #EMboards #emergencymedicine #MyEMCert #MedTwitter

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This week's topic: Kawasaki syndrome. A pediatric medium vessel vasculitis. Diagnosis includes 5 days of fever and 4+ symptoms of bilateral conjunctivitis, rash on palms & soles, cervical adenopathy, strawberry tongue, and hand/foot swelling #emergencymedicine #EMBoards

Kawasaki syndrome (cont'): Labs will show elevated LFTs, ESR/CRP, WBC, and Platelets. Manage w/ IVIG + high dose aspirin (80-100 mg/kg/day). Most cases are self-limited within 4 weeks while 20% of cases have complications (coronary artery aneurysms) #emergencymedicine #EMBoards

An outstanding summary of Kawasaki syndrome in Dan Zumsteg's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: bit.ly/3CR4q5M #EMboards #emergencymedicine #MyEMCert #MedTwitter

This week's topic: Ankylosing spondylitis. Commonly seen in young adult males presenting w/ back pain w/ morning stiffness for >3 months, fatigue, and impaired visual acuity/eye pain. Bilateral SI joint sclerosis (yellow arrow) and "bamboo spine" (blue) seen on x-ray #EMBoards

A wonderful summary of Ankylosing Spondylitis in Dan Zumsteg's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: bit.ly/3w7EjUo #EMboards #emergencymedicine #MyEMCert #MedTwitter

Hear own editor-in-chief Dr. Andrew Phillips explain a practical approach to the decompensating patient with asthma.

A wonderful summary of Candida vaginitis in Dan Zumsteg's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: bit.ly/3w7EjUo #EMboards #emergencymedicine #MyEMCert #MedTwitter

Left-Sided Ductal Dependent CHD: Presents 1-2 weeks after ductus arteriosus closes w/ poor feeding, lethargy, irritability, and eventually shock. Hypoplastic left heart presents w/ cyanosis while critical aortic stenosis & coarctation of the aorta are acyanotic. #EMBoards

An excellent summary of left-sided ductal-dependent congenital heart disease in Dan Zumsteg's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: bit.ly/3w7EjUo #EMboards #emergencymedicine #MyEMCert #MedTwitter

Extracorporeal Membrane Oxygenation (ECMO): Considered for conditions that are severe but reversible. Two types: Venovenous (yellow) is indicated for respiratory failure (ARDS or COVID) and venoarterial (orange) indicated for cardiopulmonary failure (PE, cardiogenic shock, ACS)

Contraindications to ECMO include irreversible processes such as metastatic cancer, active bleeding, aortic insufficiency (for peripheral venoarterial only), and cases of contraindications to anticoagulation (aneurysms, bleeding disorders, and strokes). #emergencymedicine

An excellent summary of Extracorporeal Membrane Oxygenation (ECMO) in Dan Zumsteg's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: bit.ly/3w7EjUo #EMboards #emergencymedicine #MyEMCert #MedTwitter

See our editor-in-chief Andrew W Phillips at AAEM’s SA this year teaching vents, euglycemic DKA, and more!

And Thx to our great #AAEM24 AAEM Critical Care section faculty: @bassam_zahid/UMiami CC Andrew W Phillips/EM Coach HarmanSGill/@SBHEMStrong Gregory Wu/Albany Med Resuscitation Fellowship Skyler Lentz/University of Vermont Emergency Medicine Dr. Kene Chukwuanu/SLU Emergency Medicine Residency AAEM AAEM/RSA Hamilton Medical See in MIA…#AAEM25!