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(212) 234-1999

Medilex: The Experts on Medical Experts

About
Medical-Legal Triage
Services
Services and Procedures
Medical Expert Fields
Types of Cases
Cost Control Guarantee
Resources
A Spoonful of Medicine
Tales from Telephone Triage
Thought Leadership
Helpful Hints
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(212) 234-1999
michael lavinger
December 21, 2022
A Spoonful of Medicine

Chemical Exposures and Rheumatologic Diagnoses

michael lavinger
December 21, 2022
A Spoonful of Medicine
Chemical Exposures and Rheumatologic Diagnoses

Speaking generally, when chemical exposures cause medical sequelae, the duration of the claimed exposure is a factor (along with the quantitative extent of exposure and route of absorption) that may be determinative of whether a causal link exists.

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Automated Dispensing Cabinets

michael lavinger
December 21, 2022
A Spoonful of Medicine
Automated Dispensing Cabinets

Automated dispensing cabinets [ADCs], such as Pyxis systems, are the most widely used medication safety technology.

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Emergency Department Boarding

michael lavinger
December 21, 2022
A Spoonful of Medicine
Emergency Department Boarding

When patients are admitted to an inpatient service from the ED and no inpatient beds are immediately available for the patient, the patient may spend hours in the ED waiting for the inpatient bed. This is termed ED boarding.

Tagged: 8

michael lavinger
December 21, 2022
A Spoonful of Medicine

Patient Monitoring in the Emergency Department

michael lavinger
December 21, 2022
A Spoonful of Medicine
Patient Monitoring in the Emergency Department

In the ED, appropriate monitoring of seriously ill patients is of utmost importance.

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Ketamine Administration in the Emergency Department

michael lavinger
December 21, 2022
A Spoonful of Medicine
Ketamine Administration in the Emergency Department

Ketamine is a general anesthetic medication that is used both in the operating room for patients requiring general anesthesia to undergo surgery as well in the ED for sedation for painful procedures.

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Keppra Administration in the Emergency Department

michael lavinger
December 21, 2022
A Spoonful of Medicine
Keppra Administration in the Emergency Department

Keppra is an antiseizure medication that is commonly used to treat patients who have seizures. It is often administered as an IV infusion to patients in the ED after they have a witnessed seizure or, occasionally…

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Medication Administration/Dispensing Safety in Emergency Departments

michael lavinger
December 21, 2022
A Spoonful of Medicine
Medication Administration/Dispensing Safety in Emergency Departments

Medication administration safety is critical in all treatment areas but requires additional safeguards in the ED environment, which is sometimes chaotic. There are multiple mechanisms to reduce the risk of medication error in the ED.

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Board Certification

michael lavinger
December 21, 2022
A Spoonful of Medicine
Board Certification

By way of general background about physician education and training, medical doctors in the United States receive a degree of either M.D. (medical doctor) or D.O. (doctor of osteopathic medicine). All are physicians who may be licensed to practice medicine and surgery (and all are “medical doctors”).

Tagged: 9

michael lavinger
December 21, 2022
A Spoonful of Medicine

Melanoma Staging and Risk Factors

michael lavinger
December 21, 2022
A Spoonful of Medicine
Melanoma Staging and Risk Factors

Several characteristics of melanoma have been identified and well-studied.  Among the factors studied for primary lesions, the depth of invasion and presence or absence of invasion are most important and are incorporated into the formal American Joint Committee on Cancer (AJCC) staging criteria.  

Tagged: 8

michael lavinger
December 14, 2022
A Spoonful of Medicine

Bacterial Endocarditis

michael lavinger
December 14, 2022
A Spoonful of Medicine
Bacterial Endocarditis

Bacterial endocarditis is a dangerous and often life-threatening infectious ailment that must be diagnosed and treated immediately. If left untreated, it will destroy…

Tagged: 8

michael lavinger
July 11, 2020
A Spoonful of Medicine, Medical Expert Specialties

Anesthesiology Medical Experts

michael lavinger
July 11, 2020
A Spoonful of Medicine, Medical Expert Specialties
 Anesthesiology Medical Experts

Anesthesiology is the division of medicine that deals with the use of pharmaceutical agents (anesthetic drugs) for sedation and pain management before…

Tagged: 8

michael lavinger
July 11, 2020
A Spoonful of Medicine, Medical Expert Specialties

Addiction Psychiatry Medical Experts

michael lavinger
July 11, 2020
A Spoonful of Medicine, Medical Expert Specialties
Addiction Psychiatry Medical Experts

Addiction psychiatry is a subspecialty in the field of psychiatry that deals with individuals with dependencies, for example, to alcohol, drugs, nicotine, and other…

Tagged: 8

michael lavinger
June 17, 2020
A Spoonful of Medicine

Visual field loss (or visual field cut)

michael lavinger
June 17, 2020
A Spoonful of Medicine
Visual field loss (or visual field cut)

Visual field loss (or visual field cut): The visual field is the total area that can be seen while…

Tagged: 8

michael lavinger
June 16, 2020
A Spoonful of Medicine

Traumatic optic neuropathy (TON)

michael lavinger
June 16, 2020
A Spoonful of Medicine
Traumatic optic neuropathy (TON)

Traumatic optic neuropathy (TON): The optic nerve transmits signals between the eyes and…

Tagged: 8

michael lavinger
June 15, 2020
A Spoonful of Medicine

Relative afferent pupillary defect (RAPD or APD)

michael lavinger
June 15, 2020
A Spoonful of Medicine
Relative afferent pupillary defect (RAPD or APD)

Relative afferent pupillary defect (RAPD or APD): RAPD is a condition in which the left…

Tagged: 8

michael lavinger
June 12, 2020
A Spoonful of Medicine

Steroid response for elevated intraocular pressure

michael lavinger
June 12, 2020
A Spoonful of Medicine
Steroid response for elevated intraocular pressure

Steroid response for elevated intraocular pressure: Intraocular pressure (IOP) is the measurement of…

Tagged: 8

michael lavinger
June 11, 2020
A Spoonful of Medicine

Commotio retinae (Berlin’s edema)

michael lavinger
June 11, 2020
A Spoonful of Medicine
Commotio retinae (Berlin’s edema)

Commotio retinae (Berlin’s edema): Damage to the retina’s outer layers from a shock wave…

Tagged: 8

michael lavinger
June 10, 2020
A Spoonful of Medicine

Traumatic iritis

michael lavinger
June 10, 2020
A Spoonful of Medicine
Traumatic iritis

Traumatic iritis (a form of anterior uveitis a/k/a iridocyclitis): An inflammation of the anterior…

Tagged: 8

michael lavinger
May 27, 2020
A Spoonful of Medicine, Medical Expert Specialties

Pulmonology Medical Experts

michael lavinger
May 27, 2020
A Spoonful of Medicine, Medical Expert Specialties
Pulmonology Medical Experts

Pulmonology (pulmonary or respiratory medicine) is a subspecialty of internal medicine that deals with…

Tagged: 8

michael lavinger
May 27, 2020
A Spoonful of Medicine, Medical Expert Specialties

Cardiac Transplant Medicine Medical Experts

michael lavinger
May 27, 2020
A Spoonful of Medicine, Medical Expert Specialties
Cardiac Transplant Medicine Medical Experts

Cardiac (heart) transplantation is a surgical treatment option for patients who have end-stage…

Tagged: 8

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