Keywords: Leukemia (PubMed Search)
Suspected Acute Leukemia in the ED
Key ED Interventions for patients with astronomically high WBC counts:
Keywords: Fever (PubMed Search)
A few pearls about neutropenic fever:
IDSA Guidelines on Neutropenic Fever, 2002. New Guidelines coming Summer 2008!
Keywords: Oncologic, Emergency, SVC Syndrome (PubMed Search)
Clinical Presentation of SVC Syndrome
SVC syndrome (caused either by tumor or thrombosis of the SVC) classically presents with facial swelling, arm swelling, and dilated chest wall veins. The problem in the real world is that often times the manifestaions are a bit more subtle.
Some SVC syndrome pearls:
Keywords: Coding, Billing, Reimburshment (PubMed Search)
The insurance companies are always trying to down code our visits so that they can save money, and unless we diagnosis the patients with the appropriate jargon it can cost us a lot of money. Here are some coding suggestions as written by Sharon Nicks, President and CEO of Nicks & Associates in EP Monthly .
|Diagnosis ||Consider Diagnosising It this, if the condition fits|
|Flu/Viral Ilness|| |
|Musculoskeletal Pain|| |
|Otitis Media|| |
The moral of this pearl is try to use words like Acute, Severe, Sudden, Serious, Distress, Pain, or Fever so that it is clearer to the insurance companies that the patient warranted a visit to a physician (i.e.: an ED) before their PCP could see them in a week.
Keywords: administrative, notice, admin, tech (PubMed Search)
Notes to authors
Keywords: Ureteral, stone, tamsulosin, management (PubMed Search)
Keywords: Listserv, mailing list, test (PubMed Search)