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How to Read an EKG

How to Read an EKG

Taking the Mystery out of the Squiggly Lines Scott Biggs, PA-C Today we are going to dive in to one of the topics that seems to intimidate people more than just about anything else in medicine – how to read an EKG. This skill is often causes fear and confusion. I assure you that it isn’t …

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Acute Congestive Heart Failure

Acute Congestive Heart Failure

Camilo Mohar, DO Over 1 million hospitalizations occur each year as a result of acute congestive heart failure (CHF). With the ever increasing age of the US population, the prevalence of CHF is becoming more and more common. For this reason, it is important to understand the physiology and adequate management of congestive heart failure …

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Non-traumatic Foreign Bodies of the HEENT and Esophagus

Non-traumatic Foreign Bodies of the HEENT and Esophagus

People often present to an emergency room, or urgent care setting with a foreign body lodged in an orifice. When the patient presents they will have a sense of urgency, and feel that it needs to “come out now”. This may or may not be the case. In order of most to least common, non-traumatic foreign bodies can become lodged in the throat, ears, nose, vagina, rectum and urethra.  Patients may be adult or pediatric. Kids will often stick beads or buttons in their ears or nose, and will swallow just about anything. Adults may have an insect in their ear, esophageal food impaction, or engage in foreign body insertions during sexual practices. In this blog we will talk about HEENT/Esophageal foreign bodies.

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Primary Care: Should we throw away the clonidine?

Primary Care Clonidine

Rachel Beatty, ARNP

Typical Scenario

Let’s discuss a common scenario. You have a 50 year old male who has not been seen by a PCP in two years. His past medical history includes arthritis and hypertension. He does not smoke and has an occasional beer on the weekend. He has been off his medications for his hypertension for over a year. His BP in office is 182/110, HR 70, Temp 97.6, Respirations 16, 02 saturation 98%.  His physical exam is unremarkable and he is asymptomatic. Your medical assistant asks you if you would like her to give him clonidine and do an EKG. She then asks if we will be sending him to the emergency room. The patient is now anxious and is wondering if he is going to have a stroke. What would you do?

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