Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.


M & M 9/8/11

Michael Koehler, MD

  • Most patients with cerebral venous sinus thrombosis will have a normal non-contrast head CT
    • Risk factors include: young/middle aged women, OCPs, peri/postpartum, pro-thrombotic states (cancer, lupus, Factor V Leiden, etc.)
    • Order an MRI/MRV on patients who present with an atypical headache with risk factors
  • Always look for the underlying precipitant of DKA
    • Most adults with DKA who complain of abdominal pain have an underlying abdominal pathology that you need to look out for
  • The rate of Fournier’s gangrene caused by MRSA is increasing
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