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Save time while placing orders by adding your favorites to your Citrix menu. See below for ideas on which items are commonly used, and how to add them!
You can also place orders with pre-completed information for those orders which have required boxes (e.g. repeat lab orders, covering physician orders, etc)
Step 1. Type name of order into query
Step 2. Right-click the order you would like and select “Add to favorites”
Step 3. If it is an order which has necessary items to be completed, you can fill the boxes out and then click “Add to favorites” to have it pre-completed each time. (This also goes for labs, images, etc!)
See below for examples of important labs to save in your favorites!
Please see attached here the DRH block 6 schedule.
Have also attached the morning report schedule.
There will be a detailed orientation for the floor team on Day 1.
DRH floor orientation will be in 2 E and the ICU orientation will be given by the fellow on Day 1.
Please send the FIN of morning report cases 72 hrs in advance and the slides 48 hrs in advance
Please plan the days off ahead of time
Please go by the sign out order I mentioned in the excel sheet
Please send a detailed sign out .
For the attending lists, I don’t have the ones for A3 and A2 yet, I will update you all as I get them.
Looking forward to working with the new teams.
Please find attached the KCI Schedule for the period 12/1o to 1/6
The schedule is final
Please find attached the Harper schedule and morning report schedule
Fall is upon us, the season of pumpkin pie, pumpkin spice latte, pumpkin everything and most importantly: Halloween!
Being an avid horror movie fan, you can instantly deduce how October 31st is special to me… I always wanted to throw a Halloween party with crazy decorations… This year I made my dream come true by throwing the party during Morning Report!
So let me tell you about my curious case of bun cellulitis:
Once upon a time, on a quiet call day, the intern me admitted a 68 year-old patient with a history of uncontrolled HTN and cocaine/alcohol dependence… The patient apparently had two fifths of Vodka two days prior to admission (a fifth is a whole bottle, FYI…) and passed out on his back for at least six hours with his wallet in the back pocket. His reason for coming into the hospital was paresthesia of the right foot. He was started on Vancomycin/Cefepime for what we were told a right buttock cellulitis…
The thought sounded outlandish at the time, however I went down to see the patient, I was trying to link the cellulitis and the numbness of the foot, I didn’t have a logical connection then…
Examining the “cellulitis”, the right bun was mildly erythematous and not warm to touch, however there was an induration that you wouldn’t expect in such a circumstance. The labs looked funny: Acute kidney injury (from a previous CKD stage 2), hyperkalemia of 5.8 and hypocalcemia (corrected calcium was 7)… Now Hercule Poirot’s voice was in my brain “Use your little gray cells, mon amie!”, I could see his satisfied smile when the UA showed the tell-tale positive blood with absent RBCs
You know what I am talking about, right? I could see the soft smile on your face!
So a patient who passed out from alcohol for long time, combined with a sprinkle of cocaine who is coming in with AKI, hyperkalemia, hyperphosphatemia and hypocalcemia, with a UA that is showing blood and no RBCs would be having rhabdomyolytis. We ordered a CPK that was > 50,ooo confirming our suspicions!
Now, let’s talk treatment! You would flush them with fluids (aiming for 200 mL/hr of urinary output, you can give anything between 400 to 1000 mL per hour), however after many liters, progressively rising CPK, minimal to absent urine output, rising potassium and signs of pulmonary edema nephrology started the patient on hemodialysis. Keep in mind that dialysis in rahbdo is indicated when you have severe or progressing hyperkalemia, fluid overload and decreased urinary output. The patient recovered his baseline kidney functions and didn’t require continuous dialysis!
Welcome to VA
Dear residents, attached with this post you will find important documents regarding your rotation. If you have any questions regarding the VA rotation, please review the orientation power point and you can contact me if you still have questions.
Make sure your pager is turned on and with you, or that it is referred to a number you can be reached at.
Please find attached the KCI floor rounding schedule
Please find the Harper University Hospital Schedule for the weeks 19 to 22
Morning report schedules:
Medicine Consults Survival Guide
Credited to: Nabil Al-Kourainy, MD with contributions from Dr. Nicholas Cretu, Rick Bloomingdale MD (CMR 2016-2017), Karthik
Kumar MD (CMR 2017-2018), and Ali Saker MD
Last updated: 07-29-2018
*Please email any changes, updates or corrections to email@example.com
Credited to: Nabil Al-Kourainy MD, Pranav Shah MD, Leslie Kao MD.