David Snider

@katiewiskar Hey Dr. Wiskar, I'm an incoming GIM fellow in Manitoba and I'm strongly considering a POCUS fellowship and was wondering if you'd have some time to chat about your career path?

Nephro attending: You'll always be surprised at what an NSAID will do to the kidneys in a volume depleted state

Screening in ED o/n: How to screen in 1-2min
- referral reason
- HPI: substrate (function, relevant comorbidities), CC + tempo of illness -> severity at 1st medical contact (VS + pertinent labs/rads) -> tx(s) and responses
- your exam
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In neuro clinic:
- role of EEG in seizure is to delineate pattern of epilepsy, prognosticate first time seizure and rule out NCSE
- if unprovoked seizure, normal neuroimaging and equivocal EEG, repeat once with sleep-deprived EEG and if nothing don’t tx with AED
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In cardio clinic:
- pre-eclampsia in women with chest pain signals increased risk of developing IHD
- normal MPI signals ~1% risk of cardiac event in 5y
- perindopril is OD (in IHD and HFrEF), greater antihypertensive effect vs. ramipril and comparable in price
#MedEd #FOAMed