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4/29/2020 · Emergency Medicine

That's Segment Elevation Myocardial Infraction (STEMI) on Electrocardiogram (ECG)...Or Is It?

By: Dr. Sajid Khan

A 70 year-old woman presents to the ER with mid-sternal chest pain, shortness of breath, and diaphoresis. She's clutching her chest with her fist. There is isolated ST elevation in aVR and inferolateral ST depression. That's a STEMI! Or is it?

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1/6/2020 · Medical

Beware Overuse of Fluoroquinolones

By: Dr. Sajid Khan

Fluoroquinolone antibiotics (Ciprofloxacin, Levofloxacin, Moxifloxacin, among others) are an important class of antibiotics that are used in a variety of settings. Ciprofloxacin remains one of the primary treatment options for cystitis. It is used routinely for inpatient treatment of pneumonia and many still consider it part of the first-line treatment for diverticulitis. But in the last few years, questions about its safety profile have led to growing concerns.

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11/13/2019 · Emergency Medicine

Supervising Midlevel Providers in Emergency Departments

By: Dr. Sajid Khan

Managing the Emergency Department is a team sport. That means sharing information with one another, trusting your teammates to perform to the best of their ability, and working together towards a common goal. To that end, one responsibility of [most] ED physicians is supervising mid-level providers.

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9/13/2019 · Medical

Vertebral and Carotid Artery Dissections

By: Dr. Sajid Khan

Cervical arterial dissections most commonly occur in the carotid arteries, followed by the vertebral arteries. Vertebral artery dissection (VAD) often presents after a trivial injury such as hyperextension of the neck while at the salon...

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7/23/2019 · Medical

Myasthenia Gravis Disorder: Diagnosis, Crisis, and Treatment 0verview

By: Dr. Sajid Khan

Myasthenic crisis is a rapidly progressive and potentially fatal condition. Early consideration and bedside confirmatory tests are essential. Have a low threshold to establish a definitive airway using higher than typical doses of paralytic medications. Involve the consultant early and be extra vigilant when caring for anyone with a history of myasthenia gravis

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7/1/2019 · Medical

Failure of Medical Stress Tests

By: Dr. Sajid Khan

When evaluating a patient, we rely on a good history to help us form a differential diagnosis. We use our physical exam skills to refine that list. A bedside ultrasound or ECG can further guide our decision-making and save precious time. Beyond these, we rely on seemingly failsafe data: radiographs, blood tests, and urine samples. But sometimes these reliable tests aren't so reliable.

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4/25/2019 · Emergency Medicine

Ready for the Measles' Comeback?

By: Dr. Sajid Khan

As disease patterns evolve, so too must we. Being aware of emerging illnesses and remaining diligent in identifying their presence ensures a safe environment for the patient and the community. Measles is a highly contagious and potentially lethal viral infectious disease.

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selected resources

Anatomy of Credit Scores- An Insider's Knowledge and Success Secrets to Overcoming the Complicated Credit Scoring System

by Doug Minor

Valuing a Business (4th Edition)

by Shannon P. Pratt, Robert F. Reilly, Robert P. Schweihs

The Elements of Boat Strength: For Builders, Designers, and Owners

by Dave Gerr, CEng, FRINA