Episode 15.0 – Adrenal Crises + D-dimer in Aortic Dissection

Pearls from a core content talk on adrenal emergencies, a journal update looking at D-dimer in aortic dissection and some acid/base cases.

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Show Notes

Shownotes

Asha SE, Miers JW. A systematic review and meta-analysis of D-dimer as a rule-out test for suspected acute aortic dissection. Ann Emerg Med 2015. PMID: 25805111

Dierks DB et al. Clinical policy: critical issues in the evaluation and management of adult patients with suspected acute nontraumatic thoracic aortic dissection. Ann Emerg Med 2015; 65: 32-42. PMID: 25529153

Acid-Base Cases

 

Quick questions & answers:

  1. For acute respiratory acidosis or alkalosis, how much does the pH change for every 10mm change of PCO2?
  2. What is the Winter’s formula?
  3. For stable chronic respiratory acidosis, for every 10 mm increase in PCO2, how much should the pH decrease by?

For each of the following cases, please analyze the acid-base status (i.e. anion gap metabolic acidosis, respiratory alkalosis,

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