Emergency

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    Preeclampsia

    Definition Preeclampsia refers to new-onset hypertension after 20 weeks of gestation that is associated with: Regarding urine dipstick Has low diagnostic accuracy – neither sensitive nor specific at the 1+ level. Confirmatory quantitative proteinuria testing (urinary PrCr, ACR or 24 hr urine collection) should be done when pre-eclampsia is suspected, e.g. In the event that…

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    Asthma Exacerbation

    Definition Asthma exacerbation is defined as: Common exacerbation triggers Assessment Involves focused history + relevant physical examination + prompt initiation of treatment. Focused history should include: Risk factors for asthma-related death Physical examination CXR is not routinely indicated unless there are atypical symptoms, suspected complications or diagnostic uncertainty (e.g. pneumothorax, pneumomediastinum or pneumonia) Exacerbation severity…

  • Anaphylaxis

    In general, anaphylaxis is the most severe end of the spectrum of allergic reactions where there is a severe life-threatening generalized/systemic hypersensitivity reaction.  Pathogenesis 1. IgE-mediated (the classic & most frequent mechanism) 2. Non-IgE-mediated (May be immunologic or non-immunologic) Pathophysiology of anaphylactic shock Whyte, Andrew & Soar, Jasmeet & Dodd, Amy & Hughes, Anna &…