Acute Somnolence (Rapid Response Calls)

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An overview of the etiologies, evaluation, and common pitfalls regarding acute somnolence that occurs in already-hospitalized patients.

#MedEd #FOAMed #InternCrashCourse
  1. Strong Medicine
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I'm so sorry for rapid removal and reupload of this video today. Thanks to Abu Antar for pointing out the error in the original version.

StrongMed
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Hi Dr. Strong… I was a patient of yours at Stanford last spring. I had HLH and a major autoimmune storm. I was there for a month, and you were my hospitalist the last week I was there. I really appreciated how you would take time to sit in my room and chat! One day you brought a bunch of students in to review my case. It’s been a long recovery, but I’m really doing great considering I almost lost my life! I often think about all the wonderful Dr.’s and nurses that took such great care of me. You all are amazing! Keep up the good work!❤

shawnelldyck
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this series cannot be more timely. i just started a month of nights and am getting hammered with new admits and RRTs nonstop. they don’t teach this in med school and attendings are universally unhelpful. THANK YOU SIR

rickshay
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Thanks so much for this series!!!! It's what I wish I had as an intern but still need now

folumb
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Fantastic video! Just wanna add that if the patient also presents with nausea and vomiting, we should also be looking out for elevated ICP and confirm it via imaging. Papilloedema is usually a late exam finding which is not that useful for ruling out elevated ICP in a rapid response call setting.

lancelot
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thank you good lecture. i listened again today :) ,

sunving
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How common is ischemic stroke as a cause of somnolence?? I thought that it was only if it affects the brain stem or the thalamus, which was quite rare.

pedrom.
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Can you direct me towards hypotension video? I’m trying to learn various reasons and treatments of hypotension. Thank you.

juliachambers