Chest x-ray interpretations

1) Documentation 2) Technical factors-adequacy, AP/PA, supine/erect: -Assess rotation-look at Google docs picture -Assess inspiration-The diaphragm should be intersected by the 5th to 7th anterior ribs in the mid-clavicular line. Less is a sign of incomplete...

Different types of oxygen devices

Oxygen administration can be delivered via low-flow or high-flow systems, with humidity or not, and with a reservoir or not. The standard nasal cannula delivers an FiO2 of 24-44% at supply flows ranging from 1-8 liters per minute (LPM). The formula is FiO2 = 20% + (4...
Ordering a right type of stress test

Ordering a right type of stress test

If you are like me, you always get a little flustered when you see many options on deciding what kind of stress test to order in your patient suspicious of CAD. This article will break down the main differences between different types of stress tests and provide you...
Ordering a right type of stress test

5-minute review of dysphagia

Patient presents to the emergency department with a complaint of “I can’t swallow.” You as a physician are now assigned with a tall task of figuring out the correct diagnosis. There is always a temptation to gather the basic history, keep the patient NPO, and consult...
“Hidden” costs of healthcare

“Hidden” costs of healthcare

A snapshot of a doctor in his daily clinic:  Imagine a typical clinic day: You have a new patient in your clinic who was admitted recently to the observation unit at a local hospital for “high uncontrolled glucose levels” and discharged one week ago. Patient has not...