Monthly Archives: July 2012

Asthma – Does the steroid matter?

Adults and children present to emergency departments on a regular basis with exacerbation of their condition for a variety of reason.  Anecdotally, the standard treatment for run-of-the-mill asthma is nebs followed by a 5 day prednisone burst.  However, does it … Continue reading

Posted in Medications, Pulmonology | Leave a comment

Spontaneous Cervical Artery Dissection

Spontaneous cervical artery dissection is likely a misnomer, as only 20 to 35% of these patients truly have no mechanical event reported.  Traumatic dissections occur with large trauma such as hanging, MVC, etc, but mechanical triggers such as sneezing, chiropractic … Continue reading

Posted in Imaging, Medical, Vascular | Tagged | Leave a comment

Myocarditis

Myocarditis is an inflammatory disease of the heart frequently resulting from viral infections and post-viral immune-mediated responses. The immune reaction in all forms of myocarditis causes structural and functional abnormalities in cardiomyocytes, which causes regional or global contractile impairment, chamber … Continue reading

Posted in Cardiology, Infectious Disease | Leave a comment

STEMI equivalents

We all know the classic STEMI.  When we see ST segment elevation greater/equal to 1 mm in two contiguous leads, activation of the cath lab is not far behind.  What other EKG findings should you look for that indicate acute … Continue reading

Posted in Medical | Leave a comment