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Painless Jaundice

Case Summary: 22 y/o M no pmh p/w painless jaundice x 5 days in the setting of recent febrile illness 1 week prior and taking Tylenol 1g q6h for several days. Physical exam was positive for jaundice, otherwise normal. Notable lab findings include:HepA IgM positiveElevated LFTs with ALT in 1400sCoags normalAPAP level negativeVBG/BMP normalUS RUQ […]

Puff Puff Pass the Ketamine

Nebulized Ketamine for Pain Written by Erena Weathers Dear ketamine enthusiastsEver wonder why there aren’t more ways to give your patient this wonderful drug? Well here’s one more route of administration that is easy and clinically relevant. You know about IV and IM, but did you know you can nebulize ketamine for therapeutic benefit?  Drapkin […]