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On "unnecessary" ED visits: background reading

Here are a bunch of very informative pieces on why trying to blame excessive costs or busy-ness on low acuity patients in the ED is, at be...

August 14, 2011

MDA Medical Glossary

adipaucity noun (mjp)
     skinniness, slimness, thinness
The cric was pretty easy due to the patient's adipaucity.

historical alternans - noun (unknown)
     multiple variations in a patient's recounting of symptoms or other pertinent history
The medical student, junior resident, and I all got very different stories from the patient due to his historical alternans.

historopenic - adjective (nst)
     inability to provide current or past medical history
I have no idea what's going on with that historopenic patient.

hypoplastic vocal cord syndrome - noun (nst)
     requiring endotracheal intubation
This patient is getting pretty sick; we need to replete the plastic between his vocal cords.

PEA-spectrum disorder - noun (mjp)
     1) critically ill; near death
     2) trying to die
Call the MICU- the patient's PEA-spectrum disorder is worsening.

Pirotte's sign - noun (mjp)
     snoring under a full sterile drape during central line placement, indicating sepsis
That septic patient had Pirotte's sign.

rocuremic - adjective (nst)
     1) satisfactory intubating conditions
     2) immobile, paralyzed
That ET tube was easy to pass, the patient was pretty rocuremic.

succinylkalemic - adjective (nst)
     peri-intubation arrest from presumed hyperkalemia
Can you push a gram of calcium? I'll start compressions.

Trueger's sign - noun (nst)
     reported diphenhydramine allergy; correlated strongly with Axis II diagnoses and/or fibromyalgia
The patient's requesting a chest MRI.

tube intolerance syndrome - noun (nst)
     a patient with multiple difficult-to-place catheters, or with multiple complications catheter placement.
I couldn't thread the wire on his central line, the NG tube wouldn't work, and his peripheral IV infiltrated... again.
Don't forget to check out the other glossary entries! 

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