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Listener Mailbag

Matthieu DeClerck, MD and Mizuho Morrison, DO
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14:48
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The decision tree and management of dealing with a patient who is suicidal, homicidal or gravely disabled is a delicate one.  Matt and Miz discuss the responsibilities and management of dealing with patients who may require an involuntary psychiatric hold and how to go about it.

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Mike W., MD -

From a listener:
Hi,
Thanks for as always amazing content.
I've recently encountered 2 cases of serum sickness in children after they had been on antibiotics. I have been practicing as a PA in general medicine for 12 years and prior to this year I had never heard of serum sickness before. Can you please do a segment on serum sickness as well as comparing it to HSP and Kawasaki. The first patient I saw had extremity swelling to her toes, ankle, wrist & fingers. The rash looked more purpuric which made me think more of HSP. We sent the patient to the ER where they diagnosed her with serum sickness. The 2nd patient I saw had a more milder presentation with swelling to her toes and more of an urticaria rash. In both cases I was concerned about the joint swelling involvement and would love a discussion on the rash that is typical for all 3 disease processes (serum sickness, HSP, Kawasaki) and other differentiating symptoms/ signs as well as other diagnoses to consider.

Thank you for all of your fantastic content and that it's fun listening to your program!
Lauren Flint, PA-C

Mike W., MD -

Thx Lauren for the suggestions - this would be a great segment and we will see if we can arrange!
M

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April Showers, Syncope & Sprains Full episode audio for MD edition 216:18 min - 101 MB - M4AUrgent Care RAP April 2019 Written Summary 340 KB - PDF

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