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EM Note
Taiwan
เข้าร่วมเมื่อ 29 มี.ค. 2008
"EM Note" is a professional TH-cam channel dedicated to produce high-quality educational videos that cover a wide range of medical topics. The channel aims to provide valuable content for medical students and professionals, offering a platform for learning and staying updated with the latest medical advancements. By offering a combination of educational videos, knowledge sharing, skill development, and engaging content, "EM Note" seeks to contribute to the medical education community and support the growth and development of medical professionals.
Herpangina and Hand Foot Mouth Disease
Homepage: EMNote.org ■
🚩Membership: tinyurl.com/joinemnote
🚩ACLS Lecture: tinyurl.com/emnoteacls
Herpangina and Hand-Foot-Mouth Disease
- Viral infection primarily affecting children under 10 years
- Causative agents: Enteroviruses, predominantly Coxsackievirus A
- Self-limiting condition with 7-10 day duration
- Transmission via respiratory droplets, saliva, or fecal-oral route
Clinical Presentation
- Initial symptoms:
- Acute onset fever
- Pharyngitis
- Headache
- Anorexia
- Characteristic lesions:
- Small, grayish-white vesicles progressing to ulcers
- Location: soft palate, tonsils, uvula
- Size: typically less than 5mm in diameter
- Associated symptoms:
- Irritability in young children
- Excessive drooling
- Dysphagia
Herpangina and Hand-Foot-Mouth Disease (HFMD)
- Both are caused by Coxsackie virus (Enterovirus).
- Herpangina: Ulcers at the back of the mouth.
- HFMD: Blisters on hands, feet, and mouth.
- Initial symptoms: Fever, sore throat, general malaise.
- Onset of small red spots: Usually after a few days of initial symptoms.
- Symptoms in children: Refusal to eat, irritability.
- Symptoms in older children: Headache, sore throat, fatigue.
Diagnosis
- Primarily clinical based on:
- Symptom presentation
- Physical examination
- Characteristic oral lesions
- Differential diagnoses:
- Herpetic gingivostomatitis
- Hand, foot, and mouth disease
- Laboratory testing generally unnecessary
Management
- Supportive care focus:
- Antipyretics/analgesics (acetaminophen, ibuprofen)
- Adequate hydration
- Dietary modifications (soft, non-irritating foods)
- Oral hygiene with saline rinses
- No specific antiviral therapy indicated
Complications
- Primary concerns:
- Dehydration, particularly in young children
- Febrile seizures
- Rare complications:
- Neurological manifestations (with enterovirus 71)
- Meningitis
- Encephalitis
- Acute flaccid paralysis
CNS complications of Herpangina and HFMD
- Associated with muscle jerks (myoclonic jerks) in severe cases.
- More likely to occur in young children.
- Enterovirus-A71 is the most pathogenic among HFMD etiologic agents.
- Severe cases may lead to brainstem encephalitis.
Early Signs of Severe CNS Complications
- Lethargy, agitation, or irritability.
- Myoclonic jerks.
- Truncal ataxia.
- Rotary eye movements without fixation.
Prevention Strategies
- Infection control measures:
- Proper hand hygiene (20-second washing)
- Respiratory etiquette
- Regular surface disinfection
- Isolation of infected individuals until fever resolution
Patient Education
- Key points to address:
- Self-limiting nature of illness
- Symptom management techniques
- Hygiene practices to prevent transmission
- Red flags requiring medical attention:
- Worsening symptoms
- Signs of dehydration
- Persistent high fever
Clinical Pearls
- Highly contagious in pediatric settings
- Viral shedding may persist weeks after symptom resolution
- Focus on preventing dehydration and managing discomfort
- Early recognition facilitates appropriate management and counseling
🚩Membership: tinyurl.com/joinemnote
🚩ACLS Lecture: tinyurl.com/emnoteacls
Herpangina and Hand-Foot-Mouth Disease
- Viral infection primarily affecting children under 10 years
- Causative agents: Enteroviruses, predominantly Coxsackievirus A
- Self-limiting condition with 7-10 day duration
- Transmission via respiratory droplets, saliva, or fecal-oral route
Clinical Presentation
- Initial symptoms:
- Acute onset fever
- Pharyngitis
- Headache
- Anorexia
- Characteristic lesions:
- Small, grayish-white vesicles progressing to ulcers
- Location: soft palate, tonsils, uvula
- Size: typically less than 5mm in diameter
- Associated symptoms:
- Irritability in young children
- Excessive drooling
- Dysphagia
Herpangina and Hand-Foot-Mouth Disease (HFMD)
- Both are caused by Coxsackie virus (Enterovirus).
- Herpangina: Ulcers at the back of the mouth.
- HFMD: Blisters on hands, feet, and mouth.
- Initial symptoms: Fever, sore throat, general malaise.
- Onset of small red spots: Usually after a few days of initial symptoms.
- Symptoms in children: Refusal to eat, irritability.
- Symptoms in older children: Headache, sore throat, fatigue.
Diagnosis
- Primarily clinical based on:
- Symptom presentation
- Physical examination
- Characteristic oral lesions
- Differential diagnoses:
- Herpetic gingivostomatitis
- Hand, foot, and mouth disease
- Laboratory testing generally unnecessary
Management
- Supportive care focus:
- Antipyretics/analgesics (acetaminophen, ibuprofen)
- Adequate hydration
- Dietary modifications (soft, non-irritating foods)
- Oral hygiene with saline rinses
- No specific antiviral therapy indicated
Complications
- Primary concerns:
- Dehydration, particularly in young children
- Febrile seizures
- Rare complications:
- Neurological manifestations (with enterovirus 71)
- Meningitis
- Encephalitis
- Acute flaccid paralysis
CNS complications of Herpangina and HFMD
- Associated with muscle jerks (myoclonic jerks) in severe cases.
- More likely to occur in young children.
- Enterovirus-A71 is the most pathogenic among HFMD etiologic agents.
- Severe cases may lead to brainstem encephalitis.
Early Signs of Severe CNS Complications
- Lethargy, agitation, or irritability.
- Myoclonic jerks.
- Truncal ataxia.
- Rotary eye movements without fixation.
Prevention Strategies
- Infection control measures:
- Proper hand hygiene (20-second washing)
- Respiratory etiquette
- Regular surface disinfection
- Isolation of infected individuals until fever resolution
Patient Education
- Key points to address:
- Self-limiting nature of illness
- Symptom management techniques
- Hygiene practices to prevent transmission
- Red flags requiring medical attention:
- Worsening symptoms
- Signs of dehydration
- Persistent high fever
Clinical Pearls
- Highly contagious in pediatric settings
- Viral shedding may persist weeks after symptom resolution
- Focus on preventing dehydration and managing discomfort
- Early recognition facilitates appropriate management and counseling
มุมมอง: 46
วีดีโอ
How to Prevent Burnout in Healthcare
มุมมอง 1314 ชั่วโมงที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Preventing Burnout in Healthcare: 10 Essential Strategies - Burnout: A common challenge in healthcare - 10 strategies to maintain well-being and career satisfaction Tip 1: Remember Your Purpose - Reconnect with your motivation for choosing healthcare - Tips: - Reflect on positive patient outcomes - ...
Datura or Jimson's Weed Poisoning
มุมมอง 1157 ชั่วโมงที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Datura or Jimson's Weed Poisoning Overview of Datura - Genus of nine poisonous plant species in the Solanaceae (nightshade) family - Contains potent anticholinergic agents - Commonly known as Jimson's weed, Devil's Trumpet, or Moonflower - Found in dry, temperate, and subtropical regions worldwide T...
Neuroleptic Malignant Syndrome (NMS)
มุมมอง 1589 ชั่วโมงที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Neuroleptic Malignant Syndrome (NMS) Life-threatening idiosyncratic reaction to antipsychotic medications Characterized by tetrad of symptoms: - Hyperthermia - Altered mental status - Muscle rigidity - Autonomic dysfunction Etiology and Risk Factors Primary triggers: - Typical neuroleptics (e.g., ha...
WISN (Warfarin induced skin necrosis)
มุมมอง 12914 ชั่วโมงที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Warfarin-Induced Skin Necrosis: A Rare Complication - Warfarin: Common anticoagulant for thromboembolic conditions - Warfarin-induced skin necrosis (WISN): Rare but serious side effect - Goal: Enhance understanding for early identification and management Warfarin's Mechanism - Antagonizes vitamin K ...
Double Sequential External Defibrillation (DSED)
มุมมอง 16816 ชั่วโมงที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Double Sequential External Defibrillation (DSED) Introduction * DSED is an advanced cardiac care technique * Used when standard defibrillation fails in ventricular fibrillation * Employs two defibrillators instead of one * Offers hope in refractory ventricular fibrillation (RVF) cases The NEJM Doubl...
Frostbite and Frostsnip
มุมมอง 32721 ชั่วโมงที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Frostbite Frostbite: Pathophysiology - Frostbite: Tissue injury resulting from freezing temperatures - Primary affected areas: Extremities (fingers, toes, nose, ears, cheeks, chin) - Mechanism: Decreased blood flow and tissue freezing in cold temperatures Epidemiology High-risk populations: - Reside...
Perimenopause Syndrome
มุมมอง 261วันที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Perimenopause - Perimenopause: Transitional period preceding menopause - Characterized by: - Gradual cessation of menstruation - End of reproductive years - Fluctuating hormone levels, primarily estrogen - Typical onset: 40s - Average duration: 4 years Biological Basis - Ovarian function during repr...
Wernicke Syndrome or Encephalopathy
มุมมอง 182วันที่ผ่านมา
Homepage: EMNote.org ■ 🚩Membership: tinyurl.com/joinemnote 🚩ACLS Lecture: tinyurl.com/emnoteacls Wernicke Encephalopathy - Wernicke syndrome/encephalopathy is a rare but critical neurological disorder - Early recognition is crucial for patient outcomes - This presentation aims to provide a comprehensive understanding What is Wernicke Encephalopathy? - Acute neurological disorder caused by thiam...
Red Man Syndrome (Vancomycin Flushing Synd)
มุมมอง 221วันที่ผ่านมา
Red Man Syndrome (Vancomycin Flushing Synd)
Warfarin-induced skin necrosis (WISN)
มุมมอง 16614 วันที่ผ่านมา
Warfarin-induced skin necrosis (WISN)
IO access is better than CVC during resuscitation
มุมมอง 30814 วันที่ผ่านมา
IO access is better than CVC during resuscitation
Respiratory Syncytial Virus (RSV) Infection
มุมมอง 16928 วันที่ผ่านมา
Respiratory Syncytial Virus (RSV) Infection
Shared Decision Making in Critical Care
มุมมอง 181หลายเดือนก่อน
Shared Decision Making in Critical Care
Propofol and Analgesia for Post-intubation Care
มุมมอง 454หลายเดือนก่อน
Propofol and Analgesia for Post-intubation Care
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Sir please make video paraquat poisoning Thank you ❤
Sure we will. Thank you. Please share with your colleagues and friends.
@@jackcfchong 💚
Was waiting for that, thank you sir ❤
Most welcome 😊 Don't forget to share.
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Thank you sir.
😁😊 Please share with your colleagues and friends.
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thanks. nice lecture.
Most welcome!
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😃this is new to me, thanks for sharing.
You’re welcome 😊
Well, feeling how it began to shrink and eventually disappear within 2 months was so liberating. I followed the steps I mentioned, and within the first 2 weeks the bloating was gone. I simply go'ogled Tilly Strankten's Ovarian Cyst Guide and it's like I hit the feel-good reset button lol.
thanks for the tips. please share with your friends.
Merciiii 🎉
Don't forget to share
Thanks for the helpful tips.
Glad it was helpful!
thank you from the dominican republic
Thank you. Don't forget to share with your colleagues and friends.
Thank you sir. Nice reminder.
Always welcome
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Greetings from MANILA-SYDNEY 2024 SEPT !
Welcome!
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To prevent diverticulitis, a high-fiber diet is recommended when not experiencing symptoms. This includes foods such as whole grains, fruits (like apples and berries), vegetables (especially leafy greens), and legumes. During flare-ups, however, a low-fiber diet or clear liquid diet is advised to allow healing, focusing on easily digestible foods like white rice, eggs, and well-cooked vegetables. Avoid red meat and high-fat foods for better management.
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Is there video on other types of plant based poisons such as Datura?
Coming soon.
Thank you sir
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🎉🎉🎉🎉
Thank you
not clear at scene 6...wht aryhtmia?
The patient has just been defibrillated at scene 5 due to ventricular fibrillation, a deadly arrhythmia, so, amiodarone infusion should be given.
thank you sir. this is rare but very important. hallmark = awake seizures!!
Yes. You are correct.
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Yes. EPs are prone to burnout. Thanks for the tips. Helpful 🙂🙂😃😃
Yes they are!
Thanks 👍👍 Vision is a red man ha ha.
😅😁😂