Author jacobi Posted on September 15, 2017March 23, 2018Categories announcementTags ,

Extension

Extension Q: How to Dial in JMC ? A: From outside – Dial 718-918-Extension (Ex:  for extension 6910, Dial# 718-918-6910) From Inside – Dial 3-Extension (Ex: for extension 6910, Dial# 3-6910) Rare cases: Some extensions are preceded by 4. For NCB dial 5 then extension **see http://www.nbhn.net/phonebook/    menu on left for more numbers and faxes.   Floors: 3B/Onc:  6910 4A:  5693/5694  | 4B MICU:  7160 5A:  7018  |  5B CCU:  7150  |  5D:  5256 6A:  6926 Dialysis: 6931 Consult Services: Renal:  4282;  5722 Onc fellows room: 5663 Psych ER: 4850, 4989, 4089 Psychiatric consult: 6790;  Stat Consult:  917-577-8129 … Continue reading “Extension”

Author jacobi Posted on August 11, 2017August 11, 2017Format AsideCategories announcement, SMRTags ,

SMR FAQ

As an SMR you will often have many questions that will come up; these are some of the more frequent questions that we ran into when we were SMRs and we hope that the answers will help guide you. Q1: I am not sure about my team distribution, what should I do ? Q2: When should I call chiefs for potential back-up residents ? Q3: What is the cutoff time to assign/inform teams about day float admissions ? Q4: Which … Continue reading “SMR FAQ”

Author jacobi Posted on August 11, 2017August 11, 2017Format AsideCategories announcement, Weekend CoverageTags

Weekend Coverage 8/12 – 8/13

Announcement Off service notes: 8/16 will be intern switch day for ACS, Pulm and Neuro teams. Residents – please advise your interns to use the updated off-service-note template (click here to download). You can also find it in the Resident Share drive:\\[2017-2018] Note Template & Samples\[2017-2018] Off Service Note – Template.docxWe appreciate your feedback from our last group meeting and have edited the template so that it blends together the information that should be in a daily progress note, but with additional details that … Continue reading “Weekend Coverage 8/12 – 8/13”

Author jacobi Posted on August 3, 2017Format AsideCategories Tidbits, Weekend CoverageTags ,

Neurological emergency

Hydrocephalus: if you see hydrocephalus in a patient with consistent severe headaches, this could be a sign of impending herniation. Patient will need emergent relief of intracranial pressure.   Botulism: Rapidly progressive paralysis with blurry vision, sluggish pupils and diplopia. This condition is caused by an irreversible toxin and the antitoxin should be given as soon as possible, so needs high clinical suspicion. The diagnosis is by injecting patient’s serum in mice to see if it causes paralysis (takes a … Continue reading “Neurological emergency”

Author jacobi Posted on August 3, 2017August 9, 2017Categories Tidbits, Weekend CoverageTags , ,

hyponatremia

Pathophysiology: Hyponatremia means excess of body water compared to total body sodium and potassium.   Also likely to involve ADH (vasopressin), the hormone involved in water balance. Total osmolality: concentration of all solutes in a given weight of water (mOsm/kg) regardless of whether or not osmoles move across biological membranes Effective osmolality: number of osmoles that contribute to water movement between intracellular and extracellular compartments Most hyponatremia is from low effective osmolality (hypo-osmotic/hypotonic hyponatremia), but occasionally, hyponatremia occurs in isotonic … Continue reading “hyponatremia”

Author jacobi Posted on August 3, 2017August 3, 2017Format ImageCategories Tidbits, Weekend CoverageTags , , ,

weekly image 0803

  39M from DR, h/o AIDS (CD4 = 40, VL 250k) not on HAART, p/w AMS, also have decreased ambulation/appetite/speaking/ambulation for 2 wks Vitals:  98.3/55/18   BP: 100/60 What is the differential diagnosis ?   What to do for this patient ?               From NEJM  Teaching Topics | February 23, 2012   Q. What neoplastic processes are part of the differential diagnosis of a peripherally enhancing brain lesion? The differential diagnosis of a peripherally … Continue reading “weekly image 0803”

Author jacobi Posted on August 3, 2017August 11, 2017Format AsideCategories announcement, Weekend CoverageTags

Weekend Coverage 8/5-6

Important Announcements Qmed downtime 8/4 – 5 ​Please ​note that there will be a Qmed upgrade overnight from 8/4 @ 11:45 PM to 8/5 @ 07:45 AM (hopefully will be done by 06:15 AM) . During the Qmed downtime house staff will be UNABLE to review charts or place orders in Qmed. For chart/lab review: Please use the Qmed downtime system (review these instructions) For ordering labs/medications: Unfortunately, all orders will need to be WRITTEN (order sheets are available at nursing stations on all the … Continue reading “Weekend Coverage 8/5-6”