31530344-lyme3

The low down on Lyme disease

Have you ever sat beneath a tree during the summer afternoon, and found yourself wondering if it might be raining? Saying “I just felt something land on me!” Only to realize it wasn’t rain, it was insects falling from the tree? This actually happened as we were hosting our prestigious…

Migraine

Migraine, in ER

Suggested prescription for severe migraine (all at once , rather than stepped care): 1-L bolus of IV normal saline solution 10 mg of IV prochlorperazine 25 mg of IV diphenhydramine 30 mg of IV ketorolac 10 mg of IV dexamethasone Reference Gupta S, Oosthuizen R, Pulfrey S. Treatment of acute…

Rheumatic_heart_disease,_gross_pathology_20G0013_lores

Subacute Bacterial Endocarditis (SBE) prophylaxis

Follow the AHA 2007 guidelines for antibiotic prophylaxis for high-risk patients undergoing high-risk procedures [1]: Note: there is a lack of evidence that antibiotic prophylaxis provides any benefit, but currently there isn’t enough evidence to justify a change in practice [2]. Prosthetic joints: no antibiotic prophylaxis for patients with prosthetic…