Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Diverticula and Dislocations (Shoulder)
Antibiotics aren’t always required for uncomplicated diverticulitis—per the DINAMO trial, selected immunocompetent patients did just as well without them.
For shoulder dislocations, keep ultrasound in your back pocket—it’s fast for diagnosis and reduction confirmation. Have a few techniques ready (Cunningham, FARES, traction-countertraction). No single trick works every time.
Acute Diverticulitis Updates
CT with IV contrast remains the imaging workhorse, but well-appearing patients with a classic history may not always need a scan. Uncomplicated cases could skip antibiotics altogether if they’re stable, tolerating PO, and low-risk for progression. Complicated cases still require a surgical consultation.