article thumbnail

Fast Facts: Traumatic Bladder Rupture

PEMBlog

To diagnose bladder rupture, CT cystography is the preferred diagnostic test. While routine CT scans of the abdomen and pelvis can differentiate between intraperitoneal and extraperitoneal fluid, they are unreliable for diagnosing bladder rupture since they cannot distinguish urine from ascites (fluid accumulation in the abdominal cavity).

article thumbnail

Prescribing Red Flags and Suspicious Controlled Substance Orders: Current Cautionary Tales

FDA Law

On October 10th, based on ability to pay, the U.S. District Court for the Western District of Texas imposed a $275,000 civil penalty on Zarzamora Healthcare LLC, in San Antonio, and its pharmacist-owner. Federal Court Orders San Antonio-Area Pharmacy and Pharmacist to Pay $275,000 Civil Penalty in Case Alleging Unlawful Opioid Distribution, Oct.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

PEMPix 2023 Online Case 1: A House Divided

PEMBlog

She was diagnosed with constipation. The patient was diagnosed with OHVIRA syndrome: O bstructed H emi v agina with I psilateral R enal A nomaly (aka Heryln-Wener-Wunderlch syndrome). 2012 Jan;5(1):67-70. During that initial visit, her physical exam was notable for generalized abdominal tenderness. J Hum Reprod Sci.

PCP 69
article thumbnail

Parvo Podcast! Erythema Infectiosum, Fifth Disease, and more!

PEMBlog

Learning Objectives Describe the classic and atypical clinical presentations of Parvovirus B19 infection in pediatric patients, including erythema infectiosum, arthropathy, transient aplastic crisis, and chronic anemia in immunocompromised hosts. So as you can see, this virus does a lot of stuff. But what is it? Well, let’s get nerdy.

article thumbnail

Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

article thumbnail

A podcast episode about laryngomalacia

PEMBlog

2012 Oct;147(4):619-26. But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically. Laryngomalacia, is the most common cause of infant stridor. Early diagnosis is crucial as it can impact a child’s growth and development. 2005 Nov;128(5):3391-7.

article thumbnail

RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern

GeriPal

First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come. And I get to play Phish, who Scott has seen about 100 times in concert. I saw them only twice.