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		<id>https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98018</id>
		<title>University of Texas Southwestern Medical Center (Dallas)</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98018"/>
		<updated>2016-09-02T01:52:46Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: updated&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==History==&lt;br /&gt;
Since its formation in 1943, Southwestern Medical School has grown from a small wartime medical college into UT Southwestern Medical Center, a multifaceted academic institution nationally recognized for its excellence in educating physicians, biomedical scientists, and health care personnel.&lt;br /&gt;
&lt;br /&gt;
Under the leadership of the late Edward H. Cary, M.D., and Karl Hoblitzelle, a group of prominent Dallas citizens organized Southwestern Medical Foundation in 1939 to promote medical education and research in Dallas and the region. When Baylor University elected to move its school of medicine from Dallas to Houston in 1943, the Foundation formally established Southwestern Medical College as the 68th medical school in the United States with Parkland Memorial hospital as the main site for clinical medical education. &lt;br /&gt;
&lt;br /&gt;
'''Important Dates in Parkland’s History:'''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''Three Dallas physicians open the first permanent hospital to care for indigent patients in the midst of a “red light district&amp;quot; at Wood and Houston streets''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''The city of Dallas hires a physician to care for prisoners. After he finishes his rounds he treats paupers on the jailhouse steps.''&lt;br /&gt;
&lt;br /&gt;
'''Apr. 2, 1957:''' ''Parkland cares for 175 patients in two hours after a tornado ravages Dallas.''&lt;br /&gt;
&lt;br /&gt;
'''1961:''' ''Parkland opens one of the largest civilian burn units in the U.S., designating four, four-bed wards as a burn treatment area.''&lt;br /&gt;
&lt;br /&gt;
'''1874:''' ''A new hospital is built on the corner of Columbia and South Lamar streets. It comprises a one-room, 25-by-50-foot house with an adjoining kitchen and a bathroom. All the patients — men, women and children — are bedded, fed and treated in one 18-bed ward, and surgery is performed there by lamplight.''&lt;br /&gt;
&lt;br /&gt;
'''Nov. 22, 1963:''' ''President John F. Kennedy is brought to Parkland after he is shot by an assassin.''&lt;br /&gt;
&lt;br /&gt;
'''1983:''' ''Parkland is certified as the first Level I Trauma Center in Texas.''&lt;br /&gt;
&lt;br /&gt;
'''1985:''' ''Parkland plays a leading role, with state lawmakers Jesse Oliver and Ray Farabee and Farabee’s wife, Helen, in passing legislation to ban “patient dumping” – the practice of transferring medically unstable patients because of inability to pay. The document became a model for national legislation signed into law on April 7, 1986, by President Ronald Reagan.''&lt;br /&gt;
&lt;br /&gt;
'''November 2008:''' ''Dallas County voters overwhelmingly voted by 82 percent to support the construction of a new hospital partially funded through bond proceeds.''&lt;br /&gt;
&lt;br /&gt;
'''Aug. 20, 2015:''' ''The new Parkland Memorial Hospital officially opens its doors to patients. The state-of-the-art 862-bed, 17-story structure largely replaces the aging Parkland Memorial Hospital that opened in 1954.''&lt;br /&gt;
&lt;br /&gt;
==Leadership==&lt;br /&gt;
*'''Department Chair:''' Deborah B Diercks, MD, MSc&lt;br /&gt;
*'''Program Director:''' Larissa Velez, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Lynn Roppolo MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Walter Green, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Dustin Williams, MD&lt;br /&gt;
*''' Emergency Medicine Clerkship Director:''' Jeff Van Dermark, MD&lt;br /&gt;
*'''Research Director:''' Ahamed Idris, MD&lt;br /&gt;
&lt;br /&gt;
==Training Locations==&lt;br /&gt;
===Primary Hospital===&lt;br /&gt;
* [http://www.parklandhospital.com/phhs/home.aspx Parkland Memorial Hospital]&lt;br /&gt;
&lt;br /&gt;
===Secondary Hospitals===&lt;br /&gt;
* Children's Medical Center &lt;br /&gt;
* William P. Clements Jr. University Hospital&lt;br /&gt;
* Methodist Hospital &lt;br /&gt;
* Dallas Presbyterian Hospital &lt;br /&gt;
* Hunt Regional Medical Center&lt;br /&gt;
* Medical City &lt;br /&gt;
* THR Harris Methodist, Fort Worth&lt;br /&gt;
&lt;br /&gt;
==Curriculum==&lt;br /&gt;
&lt;br /&gt;
===PGY1===&lt;br /&gt;
*4 months in the ED&lt;br /&gt;
*2 months in the pediatric ED&lt;br /&gt;
*1 month toxicology&lt;br /&gt;
*1 month ultrasound&lt;br /&gt;
*1 month trauma&lt;br /&gt;
*1 month CCU&lt;br /&gt;
*2 weeks burn ICU&lt;br /&gt;
*2 weeks in the women's care center&lt;br /&gt;
*2 weeks L&amp;amp;D&lt;br /&gt;
*2 weeks neuro ICU&lt;br /&gt;
&lt;br /&gt;
===PGY2===&lt;br /&gt;
*8 months in the Parkland ED&lt;br /&gt;
*1 month in the Clements University Hospital ED&lt;br /&gt;
*1 month trauma @ THR Harris Methodist Fort Worth&lt;br /&gt;
*1 month MICU&lt;br /&gt;
*2 weeks CVICU&lt;br /&gt;
*2 weeks elective&lt;br /&gt;
&lt;br /&gt;
===PGY3===&lt;br /&gt;
*6.5 months in the Parkland ED&lt;br /&gt;
*2 months elective&lt;br /&gt;
*1 month @ THR Harris Methodist&lt;br /&gt;
*1 month @ Presbyterian Dallas and Hunt Regional Hospitals &lt;br /&gt;
*1 month teaching&lt;br /&gt;
*2 weeks @ Medical City&lt;br /&gt;
&lt;br /&gt;
==Electives==&lt;br /&gt;
===2 week elective during the PGY-2 year===&lt;br /&gt;
* Advanced ultrasound&lt;br /&gt;
* EMS&lt;br /&gt;
* Research&lt;br /&gt;
* Global health&lt;br /&gt;
* Observation medicine&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Admin&lt;br /&gt;
* Education &lt;br /&gt;
===8 weeks of elective during the PGY-3 year===&lt;br /&gt;
* EM in New Zealand: Hawke's Bay Hospital in Hastings&lt;br /&gt;
* Advanced airway techniques and regional blocks&lt;br /&gt;
* Research&lt;br /&gt;
* Advanced EM techniques in ophthalmology, ENT, OMFS&lt;br /&gt;
* Admin&lt;br /&gt;
* EMS&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Other global health opportunities&lt;br /&gt;
** Recent residents have gone to Ethiopia, India, Thailand, Vietnam, and Chile&lt;br /&gt;
&lt;br /&gt;
==Fellowships==&lt;br /&gt;
* Pediatric Emergency Medicine&lt;br /&gt;
* Toxicology&lt;br /&gt;
* EMS&lt;br /&gt;
* Global Health&lt;br /&gt;
* Ultrasound&lt;br /&gt;
&lt;br /&gt;
==Contact Information==&lt;br /&gt;
# [http://www.dallasem.org/ UTSW EM Resident Website: Dallas EM]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/welcome.html Chief Resident's Welcome]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/index.html UTSW: Department of Emergency Medicine]&lt;br /&gt;
# @dallasemed on instagram&lt;br /&gt;
&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Council_of_Emergency_Medicine_Residency_Directors|Council of Emergency Medicine Residency Directors (CORD)]]&lt;br /&gt;
*[[Emergency medicine residency programs]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Resources]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98017</id>
		<title>University of Texas Southwestern Medical Center (Dallas)</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98017"/>
		<updated>2016-09-02T01:52:22Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: updated rotations&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==History==&lt;br /&gt;
Since its formation in 1943, Southwestern Medical School has grown from a small wartime medical college into UT Southwestern Medical Center, a multifaceted academic institution nationally recognized for its excellence in educating physicians, biomedical scientists, and health care personnel.&lt;br /&gt;
&lt;br /&gt;
Under the leadership of the late Edward H. Cary, M.D., and Karl Hoblitzelle, a group of prominent Dallas citizens organized Southwestern Medical Foundation in 1939 to promote medical education and research in Dallas and the region. When Baylor University elected to move its school of medicine from Dallas to Houston in 1943, the Foundation formally established Southwestern Medical College as the 68th medical school in the United States with Parkland Memorial hospital as the main site for clinical medical education. &lt;br /&gt;
&lt;br /&gt;
'''Important Dates in Parkland’s History:'''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''Three Dallas physicians open the first permanent hospital to care for indigent patients in the midst of a “red light district&amp;quot; at Wood and Houston streets''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''The city of Dallas hires a physician to care for prisoners. After he finishes his rounds he treats paupers on the jailhouse steps.''&lt;br /&gt;
&lt;br /&gt;
'''Apr. 2, 1957:''' ''Parkland cares for 175 patients in two hours after a tornado ravages Dallas.''&lt;br /&gt;
&lt;br /&gt;
'''1961:''' ''Parkland opens one of the largest civilian burn units in the U.S., designating four, four-bed wards as a burn treatment area.''&lt;br /&gt;
&lt;br /&gt;
'''1874:''' ''A new hospital is built on the corner of Columbia and South Lamar streets. It comprises a one-room, 25-by-50-foot house with an adjoining kitchen and a bathroom. All the patients — men, women and children — are bedded, fed and treated in one 18-bed ward, and surgery is performed there by lamplight.''&lt;br /&gt;
&lt;br /&gt;
'''Nov. 22, 1963:''' ''President John F. Kennedy is brought to Parkland after he is shot by an assassin.''&lt;br /&gt;
&lt;br /&gt;
'''1983:''' ''Parkland is certified as the first Level I Trauma Center in Texas.''&lt;br /&gt;
&lt;br /&gt;
'''1985:''' ''Parkland plays a leading role, with state lawmakers Jesse Oliver and Ray Farabee and Farabee’s wife, Helen, in passing legislation to ban “patient dumping” – the practice of transferring medically unstable patients because of inability to pay. The document became a model for national legislation signed into law on April 7, 1986, by President Ronald Reagan.''&lt;br /&gt;
&lt;br /&gt;
'''November 2008:''' ''Dallas County voters overwhelmingly voted by 82 percent to support the construction of a new hospital partially funded through bond proceeds.''&lt;br /&gt;
&lt;br /&gt;
'''Aug. 20, 2015:''' ''The new Parkland Memorial Hospital officially opens its doors to patients. The state-of-the-art 862-bed, 17-story structure largely replaces the aging Parkland Memorial Hospital that opened in 1954.''&lt;br /&gt;
&lt;br /&gt;
==Leadership==&lt;br /&gt;
*'''Department Chair:''' Deborah B Diercks, MD, MSc&lt;br /&gt;
*'''Program Director:''' Larissa Velez, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Lynn Roppolo MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Walter Green, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Dustin Williams, MD&lt;br /&gt;
*''' Emergency Medicine Clerkship Director:''' Jeff Van Dermark, MD&lt;br /&gt;
*'''Research Director:''' Ahamed Idris, MD&lt;br /&gt;
&lt;br /&gt;
==Training Locations==&lt;br /&gt;
===Primary Hospital===&lt;br /&gt;
* [http://www.parklandhospital.com/phhs/home.aspx Parkland Memorial Hospital]&lt;br /&gt;
&lt;br /&gt;
===Secondary Hospital===&lt;br /&gt;
* Children's Medical Center &lt;br /&gt;
* William P. Clements Jr. University Hospital&lt;br /&gt;
* Methodist Hospital &lt;br /&gt;
* Dallas Presbyterian Hospital &lt;br /&gt;
* Hunt Regional Medical Center&lt;br /&gt;
* Medical City &lt;br /&gt;
* THR Harris Methodist, Fort Worth&lt;br /&gt;
&lt;br /&gt;
==Curriculum==&lt;br /&gt;
&lt;br /&gt;
===PGY1===&lt;br /&gt;
*4 months in the ED&lt;br /&gt;
*2 months in the pediatric ED&lt;br /&gt;
*1 month toxicology&lt;br /&gt;
*1 month ultrasound&lt;br /&gt;
*1 month trauma&lt;br /&gt;
*1 month CCU&lt;br /&gt;
*2 weeks burn ICU&lt;br /&gt;
*2 weeks in the women's care center&lt;br /&gt;
*2 weeks L&amp;amp;D&lt;br /&gt;
*2 weeks neuro ICU&lt;br /&gt;
&lt;br /&gt;
===PGY2===&lt;br /&gt;
*8 months in the Parkland ED&lt;br /&gt;
*1 month in the Clements University Hospital ED&lt;br /&gt;
*1 month trauma @ THR Harris Methodist Fort Worth&lt;br /&gt;
*1 month MICU&lt;br /&gt;
*2 weeks CVICU&lt;br /&gt;
*2 weeks elective&lt;br /&gt;
&lt;br /&gt;
===PGY3===&lt;br /&gt;
*6.5 months in the Parkland ED&lt;br /&gt;
*2 months elective&lt;br /&gt;
*1 month @ THR Harris Methodist&lt;br /&gt;
*1 month @ Presbyterian Dallas and Hunt Regional Hospitals &lt;br /&gt;
*1 month teaching&lt;br /&gt;
*2 weeks @ Medical City&lt;br /&gt;
&lt;br /&gt;
==Electives==&lt;br /&gt;
===2 week elective during the PGY-2 year===&lt;br /&gt;
* Advanced ultrasound&lt;br /&gt;
* EMS&lt;br /&gt;
* Research&lt;br /&gt;
* Global health&lt;br /&gt;
* Observation medicine&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Admin&lt;br /&gt;
* Education &lt;br /&gt;
===8 weeks of elective during the PGY-3 year===&lt;br /&gt;
* EM in New Zealand: Hawke's Bay Hospital in Hastings&lt;br /&gt;
* Advanced airway techniques and regional blocks&lt;br /&gt;
* Research&lt;br /&gt;
* Advanced EM techniques in ophthalmology, ENT, OMFS&lt;br /&gt;
* Admin&lt;br /&gt;
* EMS&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Other global health opportunities&lt;br /&gt;
** Recent residents have gone to Ethiopia, India, Thailand, Vietnam, and Chile&lt;br /&gt;
&lt;br /&gt;
==Fellowships==&lt;br /&gt;
* Pediatric Emergency Medicine&lt;br /&gt;
* Toxicology&lt;br /&gt;
* EMS&lt;br /&gt;
* Global Health&lt;br /&gt;
* Ultrasound&lt;br /&gt;
&lt;br /&gt;
==Contact Information==&lt;br /&gt;
# [http://www.dallasem.org/ UTSW EM Resident Website: Dallas EM]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/welcome.html Chief Resident's Welcome]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/index.html UTSW: Department of Emergency Medicine]&lt;br /&gt;
# @dallasemed on instagram&lt;br /&gt;
&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Council_of_Emergency_Medicine_Residency_Directors|Council of Emergency Medicine Residency Directors (CORD)]]&lt;br /&gt;
*[[Emergency medicine residency programs]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Resources]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98016</id>
		<title>University of Texas Southwestern Medical Center (Dallas)</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98016"/>
		<updated>2016-09-02T01:48:37Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: /* PGY2 */&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==History==&lt;br /&gt;
Since its formation in 1943, Southwestern Medical School has grown from a small wartime medical college into UT Southwestern Medical Center, a multifaceted academic institution nationally recognized for its excellence in educating physicians, biomedical scientists, and health care personnel.&lt;br /&gt;
&lt;br /&gt;
Under the leadership of the late Edward H. Cary, M.D., and Karl Hoblitzelle, a group of prominent Dallas citizens organized Southwestern Medical Foundation in 1939 to promote medical education and research in Dallas and the region. When Baylor University elected to move its school of medicine from Dallas to Houston in 1943, the Foundation formally established Southwestern Medical College as the 68th medical school in the United States with Parkland Memorial hospital as the main site for clinical medical education. &lt;br /&gt;
&lt;br /&gt;
'''Important Dates in Parkland’s History:'''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''Three Dallas physicians open the first permanent hospital to care for indigent patients in the midst of a “red light district&amp;quot; at Wood and Houston streets''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''The city of Dallas hires a physician to care for prisoners. After he finishes his rounds he treats paupers on the jailhouse steps.''&lt;br /&gt;
&lt;br /&gt;
'''Apr. 2, 1957:''' ''Parkland cares for 175 patients in two hours after a tornado ravages Dallas.''&lt;br /&gt;
&lt;br /&gt;
'''1961:''' ''Parkland opens one of the largest civilian burn units in the U.S., designating four, four-bed wards as a burn treatment area.''&lt;br /&gt;
&lt;br /&gt;
'''1874:''' ''A new hospital is built on the corner of Columbia and South Lamar streets. It comprises a one-room, 25-by-50-foot house with an adjoining kitchen and a bathroom. All the patients — men, women and children — are bedded, fed and treated in one 18-bed ward, and surgery is performed there by lamplight.''&lt;br /&gt;
&lt;br /&gt;
'''Nov. 22, 1963:''' ''President John F. Kennedy is brought to Parkland after he is shot by an assassin.''&lt;br /&gt;
&lt;br /&gt;
'''1983:''' ''Parkland is certified as the first Level I Trauma Center in Texas.''&lt;br /&gt;
&lt;br /&gt;
'''1985:''' ''Parkland plays a leading role, with state lawmakers Jesse Oliver and Ray Farabee and Farabee’s wife, Helen, in passing legislation to ban “patient dumping” – the practice of transferring medically unstable patients because of inability to pay. The document became a model for national legislation signed into law on April 7, 1986, by President Ronald Reagan.''&lt;br /&gt;
&lt;br /&gt;
'''November 2008:''' ''Dallas County voters overwhelmingly voted by 82 percent to support the construction of a new hospital partially funded through bond proceeds.''&lt;br /&gt;
&lt;br /&gt;
'''Aug. 20, 2015:''' ''The new Parkland Memorial Hospital officially opens its doors to patients. The state-of-the-art 862-bed, 17-story structure largely replaces the aging Parkland Memorial Hospital that opened in 1954.''&lt;br /&gt;
&lt;br /&gt;
==Leadership==&lt;br /&gt;
*'''Department Chair:''' Deborah B Diercks, MD, MSc&lt;br /&gt;
*'''Program Director:''' Larissa Velez, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Lynn Roppolo MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Walter Green, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Dustin Williams, MD&lt;br /&gt;
*''' Emergency Medicine Clerkship Director:''' Jeff Van Dermark, MD&lt;br /&gt;
*'''Research Director:''' Ahamed Idris, MD&lt;br /&gt;
&lt;br /&gt;
==Training Locations==&lt;br /&gt;
===Primary Hospital===&lt;br /&gt;
* [http://www.parklandhospital.com/phhs/home.aspx Parkland Memorial Hospital]&lt;br /&gt;
&lt;br /&gt;
===Secondary Hospital===&lt;br /&gt;
* Children's Medical Center &lt;br /&gt;
* William P. Clements Jr. University Hospital&lt;br /&gt;
* Methodist Hospital &lt;br /&gt;
* Dallas Presbyterian Hospital &lt;br /&gt;
* Hunt Regional Medical Center&lt;br /&gt;
* Medical City &lt;br /&gt;
* THR Harris Methodist, Fort Worth&lt;br /&gt;
&lt;br /&gt;
==Curriculum==&lt;br /&gt;
&lt;br /&gt;
===PGY1===&lt;br /&gt;
*4 months in the ED&lt;br /&gt;
*2 months in the pediatric ED&lt;br /&gt;
*1 month toxicology&lt;br /&gt;
*1 month ultrasound&lt;br /&gt;
*1 month trauma&lt;br /&gt;
*1 month CCU&lt;br /&gt;
*2 weeks burn ICU&lt;br /&gt;
*2 weeks in the women's care center&lt;br /&gt;
*2 weeks L&amp;amp;D&lt;br /&gt;
*2 weeks neuro ICU&lt;br /&gt;
&lt;br /&gt;
===PGY2===&lt;br /&gt;
*8 months in the Parkland ED&lt;br /&gt;
*1 month in the Clements University Hospital ED&lt;br /&gt;
*1 month trauma @ THR Harris Methodist Fort Worth&lt;br /&gt;
*1 month MICU&lt;br /&gt;
*2 weeks CVICU&lt;br /&gt;
*2 weeks elective&lt;br /&gt;
&lt;br /&gt;
===PGY3===&lt;br /&gt;
&lt;br /&gt;
==Electives==&lt;br /&gt;
===2 week elective during the PGY-2 year===&lt;br /&gt;
* Advanced ultrasound&lt;br /&gt;
* EMS&lt;br /&gt;
* Research&lt;br /&gt;
* Global health&lt;br /&gt;
* Observation medicine&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Admin&lt;br /&gt;
* Education &lt;br /&gt;
===8 weeks of elective during the PGY-3 year===&lt;br /&gt;
* EM in New Zealand: Hawke's Bay Hospital in Hastings&lt;br /&gt;
* Advanced airway techniques and regional blocks&lt;br /&gt;
* Research&lt;br /&gt;
* Advanced EM techniques in ophthalmology, ENT, OMFS&lt;br /&gt;
* Admin&lt;br /&gt;
* EMS&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Other global health opportunities&lt;br /&gt;
** Recent residents have gone to Ethiopia, India, Thailand, Vietnam, and Chile&lt;br /&gt;
&lt;br /&gt;
==Fellowships==&lt;br /&gt;
* Pediatric Emergency Medicine&lt;br /&gt;
* Toxicology&lt;br /&gt;
* EMS&lt;br /&gt;
* Global Health&lt;br /&gt;
* Ultrasound&lt;br /&gt;
&lt;br /&gt;
==Contact Information==&lt;br /&gt;
# [http://www.dallasem.org/ UTSW EM Resident Website: Dallas EM]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/welcome.html Chief Resident's Welcome]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/index.html UTSW: Department of Emergency Medicine]&lt;br /&gt;
# @dallasemed on instagram&lt;br /&gt;
&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Council_of_Emergency_Medicine_Residency_Directors|Council of Emergency Medicine Residency Directors (CORD)]]&lt;br /&gt;
*[[Emergency medicine residency programs]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Resources]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98015</id>
		<title>University of Texas Southwestern Medical Center (Dallas)</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98015"/>
		<updated>2016-09-02T01:46:54Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: updated rotations&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==History==&lt;br /&gt;
Since its formation in 1943, Southwestern Medical School has grown from a small wartime medical college into UT Southwestern Medical Center, a multifaceted academic institution nationally recognized for its excellence in educating physicians, biomedical scientists, and health care personnel.&lt;br /&gt;
&lt;br /&gt;
Under the leadership of the late Edward H. Cary, M.D., and Karl Hoblitzelle, a group of prominent Dallas citizens organized Southwestern Medical Foundation in 1939 to promote medical education and research in Dallas and the region. When Baylor University elected to move its school of medicine from Dallas to Houston in 1943, the Foundation formally established Southwestern Medical College as the 68th medical school in the United States with Parkland Memorial hospital as the main site for clinical medical education. &lt;br /&gt;
&lt;br /&gt;
'''Important Dates in Parkland’s History:'''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''Three Dallas physicians open the first permanent hospital to care for indigent patients in the midst of a “red light district&amp;quot; at Wood and Houston streets''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''The city of Dallas hires a physician to care for prisoners. After he finishes his rounds he treats paupers on the jailhouse steps.''&lt;br /&gt;
&lt;br /&gt;
'''Apr. 2, 1957:''' ''Parkland cares for 175 patients in two hours after a tornado ravages Dallas.''&lt;br /&gt;
&lt;br /&gt;
'''1961:''' ''Parkland opens one of the largest civilian burn units in the U.S., designating four, four-bed wards as a burn treatment area.''&lt;br /&gt;
&lt;br /&gt;
'''1874:''' ''A new hospital is built on the corner of Columbia and South Lamar streets. It comprises a one-room, 25-by-50-foot house with an adjoining kitchen and a bathroom. All the patients — men, women and children — are bedded, fed and treated in one 18-bed ward, and surgery is performed there by lamplight.''&lt;br /&gt;
&lt;br /&gt;
'''Nov. 22, 1963:''' ''President John F. Kennedy is brought to Parkland after he is shot by an assassin.''&lt;br /&gt;
&lt;br /&gt;
'''1983:''' ''Parkland is certified as the first Level I Trauma Center in Texas.''&lt;br /&gt;
&lt;br /&gt;
'''1985:''' ''Parkland plays a leading role, with state lawmakers Jesse Oliver and Ray Farabee and Farabee’s wife, Helen, in passing legislation to ban “patient dumping” – the practice of transferring medically unstable patients because of inability to pay. The document became a model for national legislation signed into law on April 7, 1986, by President Ronald Reagan.''&lt;br /&gt;
&lt;br /&gt;
'''November 2008:''' ''Dallas County voters overwhelmingly voted by 82 percent to support the construction of a new hospital partially funded through bond proceeds.''&lt;br /&gt;
&lt;br /&gt;
'''Aug. 20, 2015:''' ''The new Parkland Memorial Hospital officially opens its doors to patients. The state-of-the-art 862-bed, 17-story structure largely replaces the aging Parkland Memorial Hospital that opened in 1954.''&lt;br /&gt;
&lt;br /&gt;
==Leadership==&lt;br /&gt;
*'''Department Chair:''' Deborah B Diercks, MD, MSc&lt;br /&gt;
*'''Program Director:''' Larissa Velez, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Lynn Roppolo MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Walter Green, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Dustin Williams, MD&lt;br /&gt;
*''' Emergency Medicine Clerkship Director:''' Jeff Van Dermark, MD&lt;br /&gt;
*'''Research Director:''' Ahamed Idris, MD&lt;br /&gt;
&lt;br /&gt;
==Training Locations==&lt;br /&gt;
===Primary Hospital===&lt;br /&gt;
* [http://www.parklandhospital.com/phhs/home.aspx Parkland Memorial Hospital]&lt;br /&gt;
&lt;br /&gt;
===Secondary Hospital===&lt;br /&gt;
* Children's Medical Center &lt;br /&gt;
* William P. Clements Jr. University Hospital&lt;br /&gt;
* Methodist Hospital &lt;br /&gt;
* Dallas Presbyterian Hospital &lt;br /&gt;
* Hunt Regional Medical Center&lt;br /&gt;
* Medical City &lt;br /&gt;
* THR Harris Methodist, Fort Worth&lt;br /&gt;
&lt;br /&gt;
==Curriculum==&lt;br /&gt;
&lt;br /&gt;
===PGY1===&lt;br /&gt;
*4 months in the ED&lt;br /&gt;
*2 months in the pediatric ED&lt;br /&gt;
*1 month toxicology&lt;br /&gt;
*1 month ultrasound&lt;br /&gt;
*1 month trauma&lt;br /&gt;
*1 month CCU&lt;br /&gt;
*2 weeks burn ICU&lt;br /&gt;
*2 weeks in the women's care center&lt;br /&gt;
*2 weeks L&amp;amp;D&lt;br /&gt;
*2 weeks neuro ICU&lt;br /&gt;
&lt;br /&gt;
===PGY2===&lt;br /&gt;
&lt;br /&gt;
===PGY3===&lt;br /&gt;
&lt;br /&gt;
==Electives==&lt;br /&gt;
===2 week elective during the PGY-2 year===&lt;br /&gt;
* Advanced ultrasound&lt;br /&gt;
* EMS&lt;br /&gt;
* Research&lt;br /&gt;
* Global health&lt;br /&gt;
* Observation medicine&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Admin&lt;br /&gt;
* Education &lt;br /&gt;
===8 weeks of elective during the PGY-3 year===&lt;br /&gt;
* EM in New Zealand: Hawke's Bay Hospital in Hastings&lt;br /&gt;
* Advanced airway techniques and regional blocks&lt;br /&gt;
* Research&lt;br /&gt;
* Advanced EM techniques in ophthalmology, ENT, OMFS&lt;br /&gt;
* Admin&lt;br /&gt;
* EMS&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Other global health opportunities&lt;br /&gt;
** Recent residents have gone to Ethiopia, India, Thailand, Vietnam, and Chile&lt;br /&gt;
&lt;br /&gt;
==Fellowships==&lt;br /&gt;
* Pediatric Emergency Medicine&lt;br /&gt;
* Toxicology&lt;br /&gt;
* EMS&lt;br /&gt;
* Global Health&lt;br /&gt;
* Ultrasound&lt;br /&gt;
&lt;br /&gt;
==Contact Information==&lt;br /&gt;
# [http://www.dallasem.org/ UTSW EM Resident Website: Dallas EM]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/welcome.html Chief Resident's Welcome]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/index.html UTSW: Department of Emergency Medicine]&lt;br /&gt;
# @dallasemed on instagram&lt;br /&gt;
&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Council_of_Emergency_Medicine_Residency_Directors|Council of Emergency Medicine Residency Directors (CORD)]]&lt;br /&gt;
*[[Emergency medicine residency programs]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Resources]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98011</id>
		<title>University of Texas Southwestern Medical Center (Dallas)</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98011"/>
		<updated>2016-09-02T01:43:23Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: updated contact info&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==History==&lt;br /&gt;
Since its formation in 1943, Southwestern Medical School has grown from a small wartime medical college into UT Southwestern Medical Center, a multifaceted academic institution nationally recognized for its excellence in educating physicians, biomedical scientists, and health care personnel.&lt;br /&gt;
&lt;br /&gt;
Under the leadership of the late Edward H. Cary, M.D., and Karl Hoblitzelle, a group of prominent Dallas citizens organized Southwestern Medical Foundation in 1939 to promote medical education and research in Dallas and the region. When Baylor University elected to move its school of medicine from Dallas to Houston in 1943, the Foundation formally established Southwestern Medical College as the 68th medical school in the United States with Parkland Memorial hospital as the main site for clinical medical education. &lt;br /&gt;
&lt;br /&gt;
'''Important Dates in Parkland’s History:'''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''Three Dallas physicians open the first permanent hospital to care for indigent patients in the midst of a “red light district&amp;quot; at Wood and Houston streets''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''The city of Dallas hires a physician to care for prisoners. After he finishes his rounds he treats paupers on the jailhouse steps.''&lt;br /&gt;
&lt;br /&gt;
'''Apr. 2, 1957:''' ''Parkland cares for 175 patients in two hours after a tornado ravages Dallas.''&lt;br /&gt;
&lt;br /&gt;
'''1961:''' ''Parkland opens one of the largest civilian burn units in the U.S., designating four, four-bed wards as a burn treatment area.''&lt;br /&gt;
&lt;br /&gt;
'''1874:''' ''A new hospital is built on the corner of Columbia and South Lamar streets. It comprises a one-room, 25-by-50-foot house with an adjoining kitchen and a bathroom. All the patients — men, women and children — are bedded, fed and treated in one 18-bed ward, and surgery is performed there by lamplight.''&lt;br /&gt;
&lt;br /&gt;
'''Nov. 22, 1963:''' ''President John F. Kennedy is brought to Parkland after he is shot by an assassin.''&lt;br /&gt;
&lt;br /&gt;
'''1983:''' ''Parkland is certified as the first Level I Trauma Center in Texas.''&lt;br /&gt;
&lt;br /&gt;
'''1985:''' ''Parkland plays a leading role, with state lawmakers Jesse Oliver and Ray Farabee and Farabee’s wife, Helen, in passing legislation to ban “patient dumping” – the practice of transferring medically unstable patients because of inability to pay. The document became a model for national legislation signed into law on April 7, 1986, by President Ronald Reagan.''&lt;br /&gt;
&lt;br /&gt;
'''November 2008:''' ''Dallas County voters overwhelmingly voted by 82 percent to support the construction of a new hospital partially funded through bond proceeds.''&lt;br /&gt;
&lt;br /&gt;
'''Aug. 20, 2015:''' ''The new Parkland Memorial Hospital officially opens its doors to patients. The state-of-the-art 862-bed, 17-story structure largely replaces the aging Parkland Memorial Hospital that opened in 1954.''&lt;br /&gt;
&lt;br /&gt;
==Leadership==&lt;br /&gt;
*'''Department Chair:''' Deborah B Diercks, MD, MSc&lt;br /&gt;
*'''Program Director:''' Larissa Velez, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Lynn Roppolo MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Walter Green, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Dustin Williams, MD&lt;br /&gt;
*''' Emergency Medicine Clerkship Director:''' Jeff Van Dermark, MD&lt;br /&gt;
*'''Research Director:''' Ahamed Idris, MD&lt;br /&gt;
&lt;br /&gt;
==Training Locations==&lt;br /&gt;
===Primary Hospital===&lt;br /&gt;
* [http://www.parklandhospital.com/phhs/home.aspx Parkland Memorial Hospital]&lt;br /&gt;
&lt;br /&gt;
===Secondary Hospital===&lt;br /&gt;
* Children's Medical Center &lt;br /&gt;
* William P. Clements Jr. University Hospital&lt;br /&gt;
* Methodist Hospital &lt;br /&gt;
* Dallas Presbyterian Hospital &lt;br /&gt;
* Hunt Regional Medical Center&lt;br /&gt;
* Medical City &lt;br /&gt;
* THR Harris Methodist, Fort Worth&lt;br /&gt;
&lt;br /&gt;
==Curriculum==&lt;br /&gt;
&lt;br /&gt;
===PGY1===&lt;br /&gt;
&lt;br /&gt;
===PGY2===&lt;br /&gt;
&lt;br /&gt;
===PGY3===&lt;br /&gt;
&lt;br /&gt;
==Electives==&lt;br /&gt;
===2 week elective during the PGY-2 year===&lt;br /&gt;
* Advanced ultrasound&lt;br /&gt;
* EMS&lt;br /&gt;
* Research&lt;br /&gt;
* Global health&lt;br /&gt;
* Observation medicine&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Admin&lt;br /&gt;
* Education &lt;br /&gt;
===8 weeks of elective during the PGY-3 year===&lt;br /&gt;
* EM in New Zealand: Hawke's Bay Hospital in Hastings&lt;br /&gt;
* Advanced airway techniques and regional blocks&lt;br /&gt;
* Research&lt;br /&gt;
* Advanced EM techniques in ophthalmology, ENT, OMFS&lt;br /&gt;
* Admin&lt;br /&gt;
* EMS&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Other global health opportunities&lt;br /&gt;
** Recent residents have gone to Ethiopia, India, Thailand, Vietnam, and Chile&lt;br /&gt;
&lt;br /&gt;
==Fellowships==&lt;br /&gt;
* Pediatric Emergency Medicine&lt;br /&gt;
* Toxicology&lt;br /&gt;
* EMS&lt;br /&gt;
* Global Health&lt;br /&gt;
* Ultrasound&lt;br /&gt;
&lt;br /&gt;
==Contact Information==&lt;br /&gt;
# [http://www.dallasem.org/ UTSW EM Resident Website: Dallas EM]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/welcome.html Chief Resident's Welcome]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/index.html UTSW: Department of Emergency Medicine]&lt;br /&gt;
# @dallasemed on instagram&lt;br /&gt;
&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Council_of_Emergency_Medicine_Residency_Directors|Council of Emergency Medicine Residency Directors (CORD)]]&lt;br /&gt;
*[[Emergency medicine residency programs]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Resources]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98010</id>
		<title>University of Texas Southwestern Medical Center (Dallas)</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=University_of_Texas_Southwestern_Medical_Center_(Dallas)&amp;diff=98010"/>
		<updated>2016-09-02T01:42:45Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: updated electives&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==History==&lt;br /&gt;
Since its formation in 1943, Southwestern Medical School has grown from a small wartime medical college into UT Southwestern Medical Center, a multifaceted academic institution nationally recognized for its excellence in educating physicians, biomedical scientists, and health care personnel.&lt;br /&gt;
&lt;br /&gt;
Under the leadership of the late Edward H. Cary, M.D., and Karl Hoblitzelle, a group of prominent Dallas citizens organized Southwestern Medical Foundation in 1939 to promote medical education and research in Dallas and the region. When Baylor University elected to move its school of medicine from Dallas to Houston in 1943, the Foundation formally established Southwestern Medical College as the 68th medical school in the United States with Parkland Memorial hospital as the main site for clinical medical education. &lt;br /&gt;
&lt;br /&gt;
'''Important Dates in Parkland’s History:'''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''Three Dallas physicians open the first permanent hospital to care for indigent patients in the midst of a “red light district&amp;quot; at Wood and Houston streets''&lt;br /&gt;
&lt;br /&gt;
'''1872:''' ''The city of Dallas hires a physician to care for prisoners. After he finishes his rounds he treats paupers on the jailhouse steps.''&lt;br /&gt;
&lt;br /&gt;
'''Apr. 2, 1957:''' ''Parkland cares for 175 patients in two hours after a tornado ravages Dallas.''&lt;br /&gt;
&lt;br /&gt;
'''1961:''' ''Parkland opens one of the largest civilian burn units in the U.S., designating four, four-bed wards as a burn treatment area.''&lt;br /&gt;
&lt;br /&gt;
'''1874:''' ''A new hospital is built on the corner of Columbia and South Lamar streets. It comprises a one-room, 25-by-50-foot house with an adjoining kitchen and a bathroom. All the patients — men, women and children — are bedded, fed and treated in one 18-bed ward, and surgery is performed there by lamplight.''&lt;br /&gt;
&lt;br /&gt;
'''Nov. 22, 1963:''' ''President John F. Kennedy is brought to Parkland after he is shot by an assassin.''&lt;br /&gt;
&lt;br /&gt;
'''1983:''' ''Parkland is certified as the first Level I Trauma Center in Texas.''&lt;br /&gt;
&lt;br /&gt;
'''1985:''' ''Parkland plays a leading role, with state lawmakers Jesse Oliver and Ray Farabee and Farabee’s wife, Helen, in passing legislation to ban “patient dumping” – the practice of transferring medically unstable patients because of inability to pay. The document became a model for national legislation signed into law on April 7, 1986, by President Ronald Reagan.''&lt;br /&gt;
&lt;br /&gt;
'''November 2008:''' ''Dallas County voters overwhelmingly voted by 82 percent to support the construction of a new hospital partially funded through bond proceeds.''&lt;br /&gt;
&lt;br /&gt;
'''Aug. 20, 2015:''' ''The new Parkland Memorial Hospital officially opens its doors to patients. The state-of-the-art 862-bed, 17-story structure largely replaces the aging Parkland Memorial Hospital that opened in 1954.''&lt;br /&gt;
&lt;br /&gt;
==Leadership==&lt;br /&gt;
*'''Department Chair:''' Deborah B Diercks, MD, MSc&lt;br /&gt;
*'''Program Director:''' Larissa Velez, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Lynn Roppolo MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Walter Green, MD&lt;br /&gt;
*'''Associate/Assistant Program Director:''' Dustin Williams, MD&lt;br /&gt;
*''' Emergency Medicine Clerkship Director:''' Jeff Van Dermark, MD&lt;br /&gt;
*'''Research Director:''' Ahamed Idris, MD&lt;br /&gt;
&lt;br /&gt;
==Training Locations==&lt;br /&gt;
===Primary Hospital===&lt;br /&gt;
* [http://www.parklandhospital.com/phhs/home.aspx Parkland Memorial Hospital]&lt;br /&gt;
&lt;br /&gt;
===Secondary Hospital===&lt;br /&gt;
* Children's Medical Center &lt;br /&gt;
* William P. Clements Jr. University Hospital&lt;br /&gt;
* Methodist Hospital &lt;br /&gt;
* Dallas Presbyterian Hospital &lt;br /&gt;
* Hunt Regional Medical Center&lt;br /&gt;
* Medical City &lt;br /&gt;
* THR Harris Methodist, Fort Worth&lt;br /&gt;
&lt;br /&gt;
==Curriculum==&lt;br /&gt;
&lt;br /&gt;
===PGY1===&lt;br /&gt;
&lt;br /&gt;
===PGY2===&lt;br /&gt;
&lt;br /&gt;
===PGY3===&lt;br /&gt;
&lt;br /&gt;
==Electives==&lt;br /&gt;
===2 week elective during the PGY-2 year===&lt;br /&gt;
* Advanced ultrasound&lt;br /&gt;
* EMS&lt;br /&gt;
* Research&lt;br /&gt;
* Global health&lt;br /&gt;
* Observation medicine&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Admin&lt;br /&gt;
* Education &lt;br /&gt;
===8 weeks of elective during the PGY-3 year===&lt;br /&gt;
* EM in New Zealand: Hawke's Bay Hospital in Hastings&lt;br /&gt;
* Advanced airway techniques and regional blocks&lt;br /&gt;
* Research&lt;br /&gt;
* Advanced EM techniques in ophthalmology, ENT, OMFS&lt;br /&gt;
* Admin&lt;br /&gt;
* EMS&lt;br /&gt;
* Critical Care&lt;br /&gt;
* Other global health opportunities&lt;br /&gt;
** Recent residents have gone to Ethiopia, India, Thailand, Vietnam, and Chile&lt;br /&gt;
&lt;br /&gt;
==Fellowships==&lt;br /&gt;
* Pediatric Emergency Medicine&lt;br /&gt;
* Toxicology&lt;br /&gt;
* EMS&lt;br /&gt;
* Global Health&lt;br /&gt;
* Ultrasound&lt;br /&gt;
&lt;br /&gt;
==Contact Information==&lt;br /&gt;
# [http://www.dallasem.org/ UTSW EM Resident Website: Dallas EM]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/welcome.html Chief Resident's Welcome]&lt;br /&gt;
# [http://www.utsouthwestern.edu/education/medical-school/departments/emergency/residency/index.html UTSW: Department of Emergency Medicine]&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
*[[Council_of_Emergency_Medicine_Residency_Directors|Council of Emergency Medicine Residency Directors (CORD)]]&lt;br /&gt;
*[[Emergency medicine residency programs]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Resources]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Renal_abscess&amp;diff=48871</id>
		<title>Renal abscess</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Renal_abscess&amp;diff=48871"/>
		<updated>2015-11-23T21:39:44Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: Created page with &amp;quot;==Background== *Rare clinical entity which can lead to delayed diagnosis  *Usually a complication of a UTI or pyelonephritis **Most commonly due to E. Coli, Klebsiella, Proteu...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*Rare clinical entity which can lead to delayed diagnosis &lt;br /&gt;
*Usually a complication of a UTI or pyelonephritis&lt;br /&gt;
**Most commonly due to E. Coli, Klebsiella, Proteus&lt;br /&gt;
*Less often can be due to hematogenous spread from other sources of infection&lt;br /&gt;
**Most commonly due to Staph aureus&lt;br /&gt;
==Risk Factors==&lt;br /&gt;
*Inadequately treated or delayed treatment of UTI or pyelonephritis &lt;br /&gt;
*Diabetes&lt;br /&gt;
*Renal calculi&lt;br /&gt;
*Ureteral obstruction&lt;br /&gt;
*Any underlying urinary tract abnormality &lt;br /&gt;
*Immunosuppression&lt;br /&gt;
==Clinical Features==&lt;br /&gt;
*Costovertebral, flank, lumbar, lower chest, or back pain&lt;br /&gt;
**Usually unilateral &lt;br /&gt;
*Fever, especially if prolonged or after antibiotic initiation &lt;br /&gt;
*Nausea, vomiting&lt;br /&gt;
*UTI or pyelonephritis symptoms not improving with antibiotics&lt;br /&gt;
==Differential Diagnosis==&lt;br /&gt;
*[[UTI]]&lt;br /&gt;
*[[Pyelonephritis]]&lt;br /&gt;
*[[Renal cyst]]&lt;br /&gt;
*[[Renal cancer]]&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
*Labs&lt;br /&gt;
**CBC, BMP, UA, lactate&lt;br /&gt;
**Urine culture, blood cultures&lt;br /&gt;
***Some studies have shown up to 66% will have + blood cultures&lt;br /&gt;
*Imaging&lt;br /&gt;
**US&lt;br /&gt;
***Well-defined hypoechoic lesion with thick walls and usually with internal debris&lt;br /&gt;
**CT &lt;br /&gt;
==Management==&lt;br /&gt;
*Antibiotics&lt;br /&gt;
**Broad spectrum if unclear source&lt;br /&gt;
***If urinary source cover typical urinary pathogens&lt;br /&gt;
****Ceftriaxone 1g IV&lt;br /&gt;
****Piperacillin-Tazobactam 4.5 g IV&lt;br /&gt;
***If hematogenous spread considered, cover for MSSA and MRSA&lt;br /&gt;
****Vancomycin15-20 mg/kg IV&lt;br /&gt;
*Percutaneous drainage&lt;br /&gt;
*Open surgical management if pt fails antibiotics/percutaneous drainage&lt;br /&gt;
==Disposition==&lt;br /&gt;
*Admission for IV antibiotics and drainage&lt;br /&gt;
**Especially if elderly or elevated BUN or creatinine&lt;br /&gt;
==Complications==&lt;br /&gt;
*Need for open surgical management or nephrectomy&lt;br /&gt;
*Renal failure&lt;br /&gt;
*Sepsis, bacteremia&lt;br /&gt;
*Emphysematous kidney&lt;br /&gt;
*Cortical abscesses can rupture and form perinephric abscesses&lt;br /&gt;
==References==&lt;br /&gt;
*Dembry LM, Andriole VT. “Renal and Perirenal Abscesses” Infectious Disease Clinics North America: 11, 3, (Sept 1997).&lt;br /&gt;
*Getting GK, Shaikh N. “Renal Abscess” Journal of EM: 31, 1 (2006): 99-100. &lt;br /&gt;
*Tintinalli Judith E, Stapczynski J. Stephan. &amp;quot;Urinary Tract Infections” Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York: McGraw-Hill, 2011. 632.&lt;br /&gt;
*Yen DHT, et al. “Renal Abscess: Early Diagnosis and Treatment” Am J EM: 17, 2 (March 1999).&lt;br /&gt;
*Shu T, Green JM, Orihuela E. “Renal and Perirenal Abscesses in Patients with Otherwise Anatomically Normal Urinary Tracts” Journal of Urology: 172 (July 2004): 148-150.&lt;br /&gt;
*http://www.ncbi.nlm.nih.gov/pubmed/16798166&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Smallpox&amp;diff=25917</id>
		<title>Smallpox</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Smallpox&amp;diff=25917"/>
		<updated>2014-11-09T13:59:17Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*Caused by the variola virus&lt;br /&gt;
*Passed through direct contact with the person, with body fluids, as well as with airborne droplets of an infected, symptomatic person &lt;br /&gt;
*Most infectious during the first week of symptoms, but will remain infectious until the last pox scab falls off &lt;br /&gt;
*Humans are the only known host&lt;br /&gt;
*Declared eradicated in 1980 after a global immunization campaign from 1966-1980; last known natural case was in Somalia in 1977; last known cases were in England in 1978 after a laboratory accident&lt;br /&gt;
&lt;br /&gt;
==Clinical Features==&lt;br /&gt;
*Incubation period: 7-19 days &lt;br /&gt;
*Initial phase begins as a fever, fatigue/weakness, dorsal-lumbar pain, myalgias, nausea/vomiting&lt;br /&gt;
*2-4 days later the characteristic rash appears &lt;br /&gt;
**Worst on the face, arms, legs, and includes the palms and soles &lt;br /&gt;
**Lesions will generally all be at same stage &lt;br /&gt;
**Lesions begin as clear fluid-filled vesicles, progress to pustules, and then harden and form a crust, ultimately falling off in about 3-4 weeks&lt;br /&gt;
*Several different disease courses&lt;br /&gt;
**Variola minor – most common form of the disease, described above&lt;br /&gt;
**Variola fulminans – rapid death during the initial phase &lt;br /&gt;
**Variola confluens – initial maculopapular rash becomes confluent leading to 96% mortality&lt;br /&gt;
**Variola hemorrhagica – hemorrhages occur within the blisters as well as mucus membranes and internal organs, death usually occurs during the first 24 hours&lt;br /&gt;
[[File:Child with Smallpox Bangladesh.jpg|thumbnail|Child with Smallpox]]&lt;br /&gt;
&lt;br /&gt;
==Workup==&lt;br /&gt;
*Clinical diagnosis based on symptoms and characteristic rash&lt;br /&gt;
*PCR DNA test&lt;br /&gt;
*When the disease was present, either electron microscopy of stained crusts of lesions or a slide precipitation method was used&lt;br /&gt;
&lt;br /&gt;
==Differential Diagnosis==&lt;br /&gt;
===Pediatric Rashes===&lt;br /&gt;
{{Peds Rash DDX}}&lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
*IMMEDIATE NOTIFICATION OF PUBLIC HEALTH AUTHORITIES&lt;br /&gt;
*Vaccine administered up to 4 days post-exposure was effective in preventing infection as well as lessening the severity of the disease if infection occurred &lt;br /&gt;
*Symptomatic treatment &lt;br /&gt;
*No cure&lt;br /&gt;
*Newer antiviral medications created since the eradication of smallpox could be an effective treatment but have never been tested on smallpox as the disease is no longer present in humans&lt;br /&gt;
&lt;br /&gt;
==Complications==&lt;br /&gt;
*Disfigurement / scarring &lt;br /&gt;
*Blindness if the corneas were involved &lt;br /&gt;
*Death&lt;br /&gt;
&lt;br /&gt;
==Prevention==&lt;br /&gt;
*The vaccine “vaccinia variola” was made from a closely-related virus&lt;br /&gt;
*Discovered by Edward Jenner who found out that the milkmaids who had been exposed to cowpox were immune to smallpox &lt;br /&gt;
*Vaccination is considered successful if at least one pustule forms at the injection site &lt;br /&gt;
*Does have serious side effects, especially in the immunocompromised, including death in rare cases&lt;br /&gt;
*Due to the side effects and the current eradication, it is not used anywhere in the world currently&lt;br /&gt;
*Many governments have large stockpiles of the vaccinia vaccine and plans in place for rapid response and vaccination if an outbreak were to occur &lt;br /&gt;
&lt;br /&gt;
==Bioterrorism==&lt;br /&gt;
*There are stocks of the virus in 2 laboratories – one in Atlanta, Georgia, USA and one in Moscow, Russia &lt;br /&gt;
*There are concerns some laboratories may illegally have the virus and could release it as a weapon of bioterrorism&lt;br /&gt;
**This was attempted by British soldiers in 1763 by throwing blankets from people with smallpox to the American Indians &lt;br /&gt;
*In July 2014, 2 vials of smallpox were unknowingly discovered at the National Institutes of Health in Bethesda, Maryland leading to heightened concerns that there may be more stockpiles in the world&lt;br /&gt;
*Many proposals have been made to destroy all the remaining vials of smallpox and related viruses, but as of yet the virus remains in those 2 laboratories&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
[[Bioterrorism]]&lt;br /&gt;
&lt;br /&gt;
==Sources==&lt;br /&gt;
*Barquet, Nicolau, MD, and Pere Domingo, MD. &amp;quot;Smallpox: The Triumph over the Most Terrible of the Ministers of Death.&amp;quot; Annals of Internal Medicine 127 (1997): 635-42.&lt;br /&gt;
*Ellner, P. D. &amp;quot;Smallpox: Gone but Not Forgotten.&amp;quot; Infection 26.5 (1998): 263-69. &lt;br /&gt;
*Langefeld, TW, J. Engel, T. Menges, and G. Hempelmann. &amp;quot;Smallpox - Clinic, Therapy and Anesthetic Aspects (part 1).&amp;quot; Anasthesiol Intensivmed Notfallmed Schmerzther 38.7 (2003): 445-55. &lt;br /&gt;
*Rosen, Peter, John A. Marx, Robert S. Hockberger, and Ron M. Walls. &amp;quot;Smallpox.&amp;quot; Rosen's Emergency Medicine Concepts and Clinical Practice. 8th ed. Vol. 2. Philadelphia, PA: Elsevier/Saunders, 2013. 1579-1580.&lt;br /&gt;
*&amp;quot;Smallpox, Smallpox FAQ.&amp;quot; WHO | World Health Organization. http://www.who.int/csr/disease/smallpox/en/ &amp;amp; http://www.who.int/csr/disease/smallpox/faq/en/&lt;br /&gt;
&amp;lt;&amp;lt;http://www.ncbi.nlm.nih.gov/pubmed/23011963&amp;gt;&amp;gt;&lt;br /&gt;
&amp;lt;&amp;lt;http://www.ncbi.nlm.nih.gov/pubmed/18406986&amp;gt;&amp;gt;&lt;br /&gt;
&amp;lt;&amp;lt;http://www.ncbi.nlm.nih.gov/pubmed/16168312&amp;gt;&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
[[Category:ID]]&lt;br /&gt;
[[Category:Tox]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Smallpox&amp;diff=25916</id>
		<title>Smallpox</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Smallpox&amp;diff=25916"/>
		<updated>2014-11-09T13:51:25Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*Caused by the variola virus&lt;br /&gt;
*Passed through direct contact with the person, with body fluids, as well as with airborne droplets of an infected, symptomatic person &lt;br /&gt;
*Most infectious during the first week of symptoms, but will remain infectious until the last pox scab falls off &lt;br /&gt;
*Humans are the only known host&lt;br /&gt;
*Declared eradicated in 1980 after a global immunization campaign from 1966-1980; last known natural case was in Somalia in 1977; last known cases were in England in 1978 after a laboratory accident&lt;br /&gt;
&lt;br /&gt;
==Clinical Features==&lt;br /&gt;
[[File:Child with Smallpox Bangladesh.jpg|thumbnail|Child with Smallpox]]&lt;br /&gt;
&lt;br /&gt;
==Workup==&lt;br /&gt;
&lt;br /&gt;
==Differential Diagnosis==&lt;br /&gt;
===Pediatric Rashes===&lt;br /&gt;
{{Peds Rash DDX}}&lt;br /&gt;
&lt;br /&gt;
==Treatment==&lt;br /&gt;
*IMMEDIATE NOTIFICATION OF PUBLIC HEALTH AUTHORITIES&lt;br /&gt;
*Supportive care&lt;br /&gt;
*Vaccination within 72h=effective&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
[[Bioterrorism]]&lt;br /&gt;
&lt;br /&gt;
==Sources==&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
[[Category:ID]]&lt;br /&gt;
[[Category:Tox]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Loa_loa&amp;diff=22923</id>
		<title>Loa loa</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Loa_loa&amp;diff=22923"/>
		<updated>2014-08-26T13:23:03Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*“African Eye Worm”&lt;br /&gt;
*Generally thought to be a harmless infection&lt;br /&gt;
*Neglected tropical disease - very few studies have been done; most information is from case reports&lt;br /&gt;
*Transmitted by Tabanid flies (genus Chrysops)&lt;br /&gt;
**Mainly active during the day and prefer humans to other hosts&lt;br /&gt;
===Parasite Lifecycle===&lt;br /&gt;
*Human gets bit by infected fly =&amp;gt; larvae travels through lymphatics =&amp;gt; spend next 20 days maturing into adult nematodes =&amp;gt; adult worms live and roam freely in subcutaneous tissues (unknown lifespan, but have been shown to live up to 17 years) =&amp;gt; adult female worms release eggs that travel through lymphatics to mature in the pulmonary vasculature and then invade peripheral blood (estimated time of infection to time larvae can be detected in peripheral blood is &amp;gt;17 months; peripheral blood levels of larvae then increase until they hit a certain plateau, and then that plateau can be maintained for years)&lt;br /&gt;
===Epidemiology===&lt;br /&gt;
*&amp;gt;10 million people estimated to be infected worldwide&lt;br /&gt;
*Majority of cases in western and central Africa&lt;br /&gt;
**Countries with the highest disease burden: Angola, Benin, Cameroon, Central African Republic, Chad, Democratic Republic of the Congo, Equatorial Guinea, Gabon, Nigeria, Republic of Congo, Sudan&lt;br /&gt;
===Risk Factors===&lt;br /&gt;
*Living or traveling to western and central Africa&lt;br /&gt;
*Cases have been reported in urban and rural settings in these countries; however, majority occur in densely forested areas&lt;br /&gt;
*Working outside during the day, working in wet or muddy areas&lt;br /&gt;
*Prevalence higher in males, probably due to different occupational exposures&lt;br /&gt;
*Prevalence increases with age, probably due to chronicity of infection and lack of symptoms&lt;br /&gt;
==Clinical Features==&lt;br /&gt;
*Usually asymptomatic&lt;br /&gt;
**Symptoms can begin within 2 months of exposure&lt;br /&gt;
**Case reports suggests symptoms may not show up for &amp;gt;20 years post-exposure&lt;br /&gt;
*Infection is generally noticed when the patient sees a white worm migrating through the subconjuctiva or sclera of their eye&lt;br /&gt;
*Calabar swellings – pruritic transient swellings in the subcutaneous tissues as the worm migrates through, usually on the limbs, especially forearms, and near joints&lt;br /&gt;
*Pruritus, joint or muscle pain, headache&lt;br /&gt;
*Can cause severe disease rarely&lt;br /&gt;
**Encephalopathy, endomyocardial fibrosis, pulmonary infiltrates, renal failure&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
*Clinical diagnosis if you can see the worm in the subconjuctiva&lt;br /&gt;
*Marked eosinophilia and elevated IgE&lt;br /&gt;
*Presence of Loa Loa larvae in the blood, CSF, urine, or sputum – through microscopy or DNA PCR&lt;br /&gt;
**Blood levels peak between 10 am – 3 pm&lt;br /&gt;
**Difficult since adult worms must be depositing larvae to be detected, which they may not do for years and density of larvae may be too low to be detected&lt;br /&gt;
*Loa Loa antibodies in the serum&lt;br /&gt;
==Management==&lt;br /&gt;
*Eye worm removal&lt;br /&gt;
**Use local anesthesia to make small incision in conjunctiva to extract worm with forceps&lt;br /&gt;
*Diethylcarbamazine (DEC)&lt;br /&gt;
**Only treatment that is definitively curative killing both larvae and adult worms&lt;br /&gt;
**May need 2-3 courses of treatment&lt;br /&gt;
**First course should last 3-4 weeks&lt;br /&gt;
***Starting doses should be divided into BID or TID doses starting at 3-6 mg/day and doubling daily until up to 400 mg/day is reached&lt;br /&gt;
***Side effects occur in &amp;gt;50% of people – pruritus, rashes, edema, headaches, fever, pleural effusion, laryngeal edema&lt;br /&gt;
***Give antihistamines or corticosteroids at the same time to reduce side effects&lt;br /&gt;
**Associated with severe encephalopathy if Loa Loa burden is high&lt;br /&gt;
*2nd line – Ivermectin or Albendazole&lt;br /&gt;
**Ivermectin kills only larvae so is not curative, may be more effective if given monthly&lt;br /&gt;
***Given as a single dose 150 ug/kg, then repeated every 1-3 months&lt;br /&gt;
**Albendazole kills only adult worms so is not curative, treatment is very slow, and may not be effective if high worm burden&lt;br /&gt;
***Given as 200 mg BID for 21 days&lt;br /&gt;
**Both treatments may be more effective as a therapy to decrease disease burden so that follow-up treatment with DEC is less likely to cause encephalopathy&lt;br /&gt;
==Complications==&lt;br /&gt;
*Infection-associated encephalopathy&lt;br /&gt;
*Treatment-associated encephalopathy&lt;br /&gt;
**Characteristically accompanied by retinal hemorrhages&lt;br /&gt;
**Aphasia, incontinence, extrapyramidal signs&lt;br /&gt;
**Generally fatal or resulting in severe morbidity&lt;br /&gt;
==Prevention==&lt;br /&gt;
*Personal protective measures against flies – long sleeves, light-colored clothes, nets/screens, insecticide&lt;br /&gt;
*Mass treatment in endemic communities is being currently evaluated to determine if it would be safe and effective&lt;br /&gt;
==Sources==&lt;br /&gt;
*Boussinesq, M. &amp;quot;Loiasis.&amp;quot; Annals of Tropical Medicine and Parasitology 100.8 (2006): 715-31&lt;br /&gt;
*Boussinesq, Michel. &amp;quot;Loiasis: New Epidemiologic Insights and Proposed Treatment Strategy.&amp;quot;Journal of Travel Medicine 19.3 (2012): 140-43.&lt;br /&gt;
*Metzer, WG, Mordmuller, B. “Loa Loa – does it deserve to be neglected?” Lancet Infect Dis. 2014 Apr; 14 (4):353-7. Epub 2013 Dec 12.&lt;br /&gt;
*Padgett, Jeannie J., and Kathryn H. Jacobsen. &amp;quot;Loiasis: African Eye Worm.&amp;quot; Transactions of the Royal Society of Tropical Medicine and Hygiene 102.10 (2008): 983-89.&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Loa_loa&amp;diff=22922</id>
		<title>Loa loa</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Loa_loa&amp;diff=22922"/>
		<updated>2014-08-26T13:18:09Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: Created page with &amp;quot;==Background== *“African Eye Worm” *Generally thought to be a harmless infection *Neglected tropical disease - very few studies have been done; most information is from ca...&amp;quot;&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*“African Eye Worm”&lt;br /&gt;
*Generally thought to be a harmless infection&lt;br /&gt;
*Neglected tropical disease - very few studies have been done; most information is from case reports&lt;br /&gt;
*Transmitted by Tabanid flies (genus Chrysops)&lt;br /&gt;
**Mainly active during the day and prefer humans to other hosts&lt;br /&gt;
===Parasite Lifecycle===&lt;br /&gt;
*Human gets bit by infected fly =&amp;gt; larvae travels through lymphatics =&amp;gt; spend next 20 days maturing into adult nematodes =&amp;gt; adult worms live and roam freely in subcutaneous tissues (unknown lifespan, but have been shown to live up to 17 years) =&amp;gt; adult female worms release eggs that travel through lymphatics to mature in the pulmonary vasculature and then invade peripheral blood (estimated time of infection to time larvae can be detected in peripheral blood is &amp;gt;17 months; peripheral blood levels of larvae then increase until they hit a certain plateau, and then that plateau can be maintained for years)&lt;br /&gt;
===Epidemiology===&lt;br /&gt;
*&amp;gt;10 million people estimated to be infected worldwide&lt;br /&gt;
*Majority of cases in western and central Africa&lt;br /&gt;
**Countries with the highest disease burden: Angola, Benin, Cameroon, Central African Republic, Chad, Democratic Republic of the Congo, Equatorial Guinea, Gabon, Nigeria, Republic of Congo, Sudan&lt;br /&gt;
===Risk Factors===&lt;br /&gt;
*Living or traveling to western and central Africa&lt;br /&gt;
*Cases have been reported in urban and rural settings in these countries; however, majority occur in densely forested areas&lt;br /&gt;
*Working outside during the day, working in wet or muddy areas&lt;br /&gt;
*Prevalence higher in males, probably due to different occupational exposures&lt;br /&gt;
*Prevalence increases with age, probably due to chronicity of infection and lack of symptoms&lt;br /&gt;
==Clinical Features==&lt;br /&gt;
*Usually asymptomatic&lt;br /&gt;
**Symptoms can begin within 2 months of exposure&lt;br /&gt;
**Case reports suggests symptoms may not show up for &amp;gt;20 years post-exposure&lt;br /&gt;
*Infection is generally noticed when the patient sees a white worm migrating through the subconjuctiva or sclera of their eye&lt;br /&gt;
*Calabar swellings – pruritic transient swellings in the subcutaneous tissues as the worm migrates through, usually on the limbs, especially forearms, and near joints&lt;br /&gt;
*Pruritus, joint or muscle pain, headache&lt;br /&gt;
*Can cause severe disease rarely&lt;br /&gt;
**Encephalopathy, endomyocardial fibrosis, pulmonary infiltrates, renal failure&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
*Clinical diagnosis if you can see the worm in the subconjuctiva&lt;br /&gt;
*Marked eosinophilia and elevated IgE&lt;br /&gt;
*Presence of Loa Loa larvae in the blood, CSF, urine, or sputum – through microscopy or DNA PCR&lt;br /&gt;
**Blood levels peak between 10 am – 3 pm&lt;br /&gt;
**Difficult since adult worms must be depositing larvae to be detected, which they may not do for years and density of larvae may be too low to be detected&lt;br /&gt;
*Loa Loa antibodies in the serum&lt;br /&gt;
==Management==&lt;br /&gt;
*Eye worm removal&lt;br /&gt;
**Use local anesthesia to make small incision in conjunctiva to extract worm with forceps&lt;br /&gt;
*Diethylcarbamazine (DEC)&lt;br /&gt;
**Only treatment that is definitively curative killing both larvae and adult worms&lt;br /&gt;
**May need 2-3 courses of treatment&lt;br /&gt;
**First course should last 3-4 weeks&lt;br /&gt;
***Starting doses should be divided into BID or TID doses starting at 3-6 mg/day and doubling daily until up to 400 mg/day is reached&lt;br /&gt;
***Side effects occur in &amp;gt;50% of people – pruritus, rashes, edema, headaches, fever, pleural effusion, laryngeal edema&lt;br /&gt;
***Give antihistamines or corticosteroids at the same time to reduce side effects&lt;br /&gt;
**Associated with severe encephalopathy if Loa Loa burden is high&lt;br /&gt;
*2nd line – Ivermectin or Albendazole&lt;br /&gt;
**Ivermectin kills only larvae so is not curative, may be more effective if given monthly&lt;br /&gt;
***Given as a single dose 150 ug/kg, then repeated every 1-3 months&lt;br /&gt;
**Albendazole kills only adult worms so is not curative, treatment is very slow, and may not be effective if high worm burden&lt;br /&gt;
***Given as 200 mg BID for 21 days&lt;br /&gt;
**Both treatments may be more effective as a therapy to decrease disease burden so that follow-up treatment with DEC is less likely to cause encephalopathy&lt;br /&gt;
==Complications==&lt;br /&gt;
*Infection-associated encephalopathy&lt;br /&gt;
*Treatment-associated encephalopathy&lt;br /&gt;
**Characteristically accompanied by retinal hemorrhages&lt;br /&gt;
**Aphasia, incontinence, extrapyramidal signs&lt;br /&gt;
**Generally fatal or resulting in severe morbidity&lt;br /&gt;
&lt;br /&gt;
==See Also==&lt;br /&gt;
&lt;br /&gt;
==External Links==&lt;br /&gt;
&lt;br /&gt;
==Sources==&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=User:Phipps29&amp;diff=22848</id>
		<title>User:Phipps29</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=User:Phipps29&amp;diff=22848"/>
		<updated>2014-08-18T19:44:56Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;Ashley Phipps, MD.&lt;br /&gt;
   UT Southwestern Medical Center/Parkland Memorial Hospital,  Dallas, TX, USA&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
	<entry>
		<id>https://wikem.org/w/index.php?title=Septic_abortion&amp;diff=22847</id>
		<title>Septic abortion</title>
		<link rel="alternate" type="text/html" href="https://wikem.org/w/index.php?title=Septic_abortion&amp;diff=22847"/>
		<updated>2014-08-18T19:42:42Z</updated>

		<summary type="html">&lt;p&gt;Phipps29: &lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;==Background==&lt;br /&gt;
*Spontaneous or induced abortion that is complicated by a pelvic infection&lt;br /&gt;
*Endometritis (2/2 retained products of conception or using non-sterile instruments) =&amp;gt; PID and peritonitis =&amp;gt; bacteremia, sepsis, and death&lt;br /&gt;
*Usually a polymicrobial infection&lt;br /&gt;
**E. Coli, Streptococcus, anaerobes (Bacteroides), sexually transmitted pathogens&lt;br /&gt;
**Clostridium perfringens is associated with a higher mortality&lt;br /&gt;
**Tetanus, especially in developing nations&lt;br /&gt;
===Risk Factors===&lt;br /&gt;
*Illegal abortions / unsafe abortions&lt;br /&gt;
*Advanced gestational age&lt;br /&gt;
===Epidemiology===&lt;br /&gt;
*Huge cause of maternal mortality worldwide&lt;br /&gt;
*Estimated 20 million unsafe abortions performed worldwide every year; 40% done on women ages 15-24&lt;br /&gt;
*WHO estimates 68,000 women die every year from unsafe abortions, with septic abortion being the #1 cause of death&lt;br /&gt;
*Overall mortality: 20-50%&lt;br /&gt;
*Mortality rare in US (1 in 100,000 abortions)&lt;br /&gt;
==Clinical Features==&lt;br /&gt;
*Abdominal or pelvic pain&lt;br /&gt;
*Nausea / vomiting&lt;br /&gt;
*Vaginal bleeding&lt;br /&gt;
*Vaginal discharge&lt;br /&gt;
*Cervical motion tenderness&lt;br /&gt;
*Hypotension, tachycardia, fever, tachypnea &lt;br /&gt;
*Hx of recent pregnancy or known induced or spontaneous abortion &lt;br /&gt;
*Usually delayed presentation (48 hours after onset of symptoms) secondary to the stigma of induced abortion&lt;br /&gt;
==Diagnosis==&lt;br /&gt;
*Clinical diagnosis; patient may be reluctant to share information that she had an unsafe abortion&lt;br /&gt;
*Labs: CBC, blood type with Rh status, CMP, serum beta-hcg level, UA, blood cultures&lt;br /&gt;
*Gram stain and culture of any vaginal discharge&lt;br /&gt;
*Check coags to rule out DIC&lt;br /&gt;
*Pelvic exam – look for signs of trauma to cervix or vagina&lt;br /&gt;
*Ultrasound – check for intrauterine material, abdominal free fluid, pelvic abscess &lt;br /&gt;
*CT or MRI – may show uterine emphysema or intraperitoneal air if uterine perforation has occurred&lt;br /&gt;
==Management==&lt;br /&gt;
*2 large bore IVs; aggressive IV fluid resuscitation&lt;br /&gt;
*Assess for and control any vaginal bleeding&lt;br /&gt;
*Broad-spectrum antibiotics – Ampicillin 1-2 gm IV + Gentamicin 1-2 mg/kg IV + Clindamycin 600-900 mg IV or Metronidazole 500 mg IV&lt;br /&gt;
*Tetanus vaccination &lt;br /&gt;
*Early OB consult – Most will need evacuation of any remaining products of conception&lt;br /&gt;
*Early surgery consult - Exploratory laparotomy if any pelvic free fluid or intra-abdominal air&lt;br /&gt;
==Complications==&lt;br /&gt;
*Need for hysterectomy and bilateral salpingo-oophorectomy &lt;br /&gt;
*Acute renal failure, liver dysfunction, ARDS, multisystem organ failure &lt;br /&gt;
*Coagulopathy - DIC&lt;br /&gt;
*Hemorrhage requiring transfusion&lt;br /&gt;
*Increased risk of ectopic pregnancy and infertility in the future&lt;br /&gt;
==See Also==&lt;br /&gt;
==Sources==&lt;br /&gt;
&amp;lt;references/&amp;gt;&lt;br /&gt;
#Finkielman, Javier Daniel, Fabian Dario De Feo, Paula Graciela Heller, and Bekele Afessa. &amp;quot;The Clinical Course of Patients with Septic Abortion Admitted to an Intensive Care Unit.&amp;quot; Intensive Care Medicine 30.6 (2004): 1097-102.&lt;br /&gt;
#Gaufberg, Salva V., MD, and Pamela L. Dyne, MD. &amp;quot;Abortion Complications.&amp;quot;Abortion Complications. Medscape, 22 Oct. 2012.&lt;br /&gt;
#Osazuwa, Henry, and Michael Aziken. &amp;quot;Septic Abortion: A Review of Social and Demographic Characteristics.&amp;quot; Archives of Gynecology and Obstetrics 275.2 (2007): 117-19. &lt;br /&gt;
#Tintinalli, Judith E., and J. Stephan. Stapczynski. &amp;quot;Septic Abortion.&amp;quot; Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York: McGraw-Hill, 2011. 682.&lt;br /&gt;
#Saultes, Teresa A., Devita, Diane., Heiner, Jason D. “The Back Alley Revisited: Sepsis after Attempted Self-Induced Abortion.” Western Journal of Emergency Medicine 10, 4 (2009) 278-280. &lt;br /&gt;
#Stubblefield, Phillip G., and David A. Grimes. &amp;quot;Septic Abortion.&amp;quot; New England Journal of Medicine 331.5 (1994): 310-14.&lt;br /&gt;
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[[Category: OB/GYN]]&lt;/div&gt;</summary>
		<author><name>Phipps29</name></author>
	</entry>
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