Emedinews: Makesure: A patient of stroke with fever worsened

Situation: A patient of stroke with fever worsened.

Reaction: Oh my God!! Why was normothermia not maintained!

Lesson: Make sure  that  normothermia is maintained for at least first several days after acute stroke. Fever may occur in patients with acute stroke and can worsen brain ischemia.

emedinews: Dr Good Dr Bad:A 63-year-old male with pneumonia was admitted with blood urea of 44 mg/dL.

Situation: A 63-year-old male with pneumonia was admitted with blood urea of 44 mg/dL.

Dr Bad: You need ICU admission.

Dr Good: You need OPD treatment.

Lesson: . Patients with a CURB-65 score of 0 to 1 could probably be treated as outpatients, those with a score of 2 should be admitted to the hospital, and those with a score of 3 or more should be assessed for ICU care, particularly if the score was 4 or 5 (Thorax 2003; 58:377-82). 

Emedinews: Dr Good Dr Bad:A child presented with focal convulsions with onset of high grade fever.

Situation:  A child presented with focal convulsions with onset of high grade fever.
Dr Bad: These are simple febrile convulsions

Dr Good: These are not simple febrile convulsions

Lesson: Simple benign febrile convulsions are always generalized.