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The nerve, artery, and vein are at 12 o’clock. The urethra is at 6 o’clock. Two Types of Priapism High flow (non-ischemic) Common causes Trauma AV malformations Tumors Priapism from too much blood coming IN Not painful Consult urology Low flow (ischemic) Common causes Sickle cell disease Drug side-effects Priapism from blood being unable to […]

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Never ignore a pregnant woman’s blood pressure. Introduction Pre-Eclampsia Pathophysiology unknown Pregnancy induced multi-organ dysfunction Definition Pregnancy PLUS BP 135/85 PLUS Proteinuria Eclampsia Preeclampsia PLUS Seizures HELLP Syndrome Preeclampsia PLUS Hemolysis PLUS Elevated liver enzymes PLUS Low platelets Step 1: Evaluate For Four Big Symptoms Swelling/edema Headache Visual changes Abdominal pain Step 2: Testing Urinalysis […]

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With this complaint, it’s ALL about doing a good history and exam. Step 1: Write Out Your Differential Diagnosis The KING Subarachnoid hemorrhage The QUEEN Meningitis 3 Killers in the BRAIN Stroke Hematomas Elevated ICP/Tumors 3 Killers in the VESSELS Arterial dissection Brain DVT (Dural Venous Sinus Thrombosis) Giant cell/temporal arteritis 3 MISCELLANEOUS killers Preeclampsia […]

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Don’t forget to do a thorough GU exam! Step 1: Write Out Your Differential Diagnosis Remember 2-4-2-4 (2) In the upper abdomen Pyloric stenosis Pneumonia (4) In the lower abdomen Hirschsprung’s disease Intussusception Appendicitis Hernia (2) Genitourinary UTI Testicular/Ovarian torsion (4) Generalized Volvulus Necrotizing enterocolitis Henoch Schonlein Purpura Diabetic ketoacidosis Step 2: Do Pediatric History […]