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Dengue Fever

Lindee Abe, APRN Dengue virus is on the rise. Constant surveillance is required for emerging infectious diseases (EIDs) that can disrupt the population. EIDs can include novel diseases (e.g., COVID-19), emerging diseases (e.g., monkeypox), increased incidence (e.g., dengue fever), and antibiotic-resistant infections (e.g., gonorrhea). The World Health Organization (WHO) is a key organization that monitors …

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Thrombocytopenia – an ED Approach

Alex Koo, MD Thrombocytopenia is defined by a platelet count less than 150,000 platelets/microliter in adults.  Subcategorized, thrombocytopenia can be broken down into mild, moderate, and severe: Mild – 100,000 to 149,000/microL Moderate – 50,000 to 99,000/microL Severe – <50,000/microL Thrombocytopenias have a large etiology broken down into three subcategories: Patient History In taking a …

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Monkeypox

Lindee Abe, APRN Monkeypox drew media attention when an outbreak occurred in 2022, and it was declared a public health emergency of international concern (PHEIC). At that time, two years into the COVID-19 pandemic, the public was paying more attention to public health and emerging diseases. The reality is that monkeypox, or Mpox, has been …

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Whooping Cough (Pertussis) Updates

Lindee Abe, APRN Whooping cough has been making the rounds again, and there have been reports of increased cases in 2024 across the United States. This results in more patients wanting to be seen for a cough, fearing that this may be the underlying cause. The numbers for 2024 are higher than 2023, but it …

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How to Manage Fingertip Avulsions

Lindee Abe, APRN Fingertip avulsions and lacerations are common injuries in urgent care centers and emergency departments everywhere. Avulsions can happen any time of the year, but are most commonly seen in the warmer months. Lacerations that don’t involve muscle or tendon damage are straightforward. They can be treated easily in these settings. Mixed in …

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GI Bleed Severity

Margaret Schifano, PA-C Management of upper and lower gastrointestinal (GI) bleeds poses significant challenges from an emergency medicine perspective, requiring swift and accurate decision-making to optimize patient outcomes and ensure appropriate disposition. Clinical decision tools have emerged as indispensable aids in guiding healthcare professionals through the complex process of assessing and stratifying patients with GI …

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