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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Pharm & Cheese: Nebulized TXA

August 14, 2025

Bedside Clinical Question: Can nebulized tranexamic acid (TXA) be used as treatment in a patient presenting with hemoptysis?

Yasmeen Ettrick, PharmD PGY1 Pharmacy Resident and Joanne Routsolias, PharmD, RN, BCPS, Clinical PharmD Specialist

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In Pharmacology Tags Pharmocology, PharmD Pearl
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Figure 1. Index EKG

Heart of the Matter: An Underappreciated Cause of OMI

August 14, 2025

A 34-year-old male with a history of heart failure with reduced ejection fraction of 20-25%, hypertension, and cocaine use disorder presented to the emergency department with leg swelling, cough with bloody sputum, and chest pain on exertion.

Michael Hohl MD and Ari Edelheit MD

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In Cardiology Tags Cardiology
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Pharm & Cheese: Pelvic Inflammatory Disease

July 27, 2025

PID encompasses all infections of the female upper reproductive tract, including endometritis, myometritis, salpingitis, tubo-ovarian abscess, parametritis, oophoritis, peri-appendicitis, perihepatitis, and pelvic peritonitis. Per CDC guidelines, diagnosis requires at least one of three minimum criteria: cervical motion tenderness (CMT), uterine tenderness, and adnexal tenderness.

Nanditha Ravichandran MD & Eric Leser MD

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In OB/GYN, Infectious Disease Tags Infectious Disease
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