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Adult Patients

HIV Pre-Exposure Prophylaxis (PrEP)

1. Sexual History: Multiple Partners?, Intermittent condom use?, Unknown HIV status of partners?, Ever had an STD?, Do you inject drugs? If yes to any of these questions offer PrEP 2. Obtain Lab Tests: 3rd or 4th generation HIV test. Perform NAAT/viral load if...

Upper Abdominal Pain

Biliary: cholecystitis, cholelithiasis, cholangitis Colonic: colitis, diverticulitis Hepatic: abscess, hepatitis, mass Pulmonary: pneumonia, embolus Renal: nephrolithiasis, pyelonephritis Biliary: cholecystitis, cholelithiasis, cholangitis Cardiac: myocardial...

Young Chest Pain

Chest Pain Chest Pain Differential: ACS, AMI, USA, PE, PNA, CHF, MSK, GERD, PTX, aortic stenosis, COPD exacerbation, esophageal rupture, pericardial tamponade, pancreatitis, pericarditis, myocarditis, aneurysm, dissection, anxiety Young(er) chest pain <40, no...

Vaginal bleeding in pregnancy – ED evaluation

Background Epidemiology 1st trimester bleeding occurs in 20-40% of pregnancies 5-15% diagnosed pregnancies result in miscarriages 1-2% of pregnancies are ectopic (in the US) Causes of 1st trimester bleeding Ectopic pregnancy Miscarriage (threatened, inevitable,...

LGIB in Adults

Lower gastrointestinal bleeding in adults (adapted from Emedicine, uptodate, ACG guidelines) I. Critical interventions Is the patient unstable? Is this actually an upper GI bleed? Is the patient actively bleeding? How much? II. Definition Bleeding distal to Ligament...

Medical Device Training

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