11 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
of Electrical Injury ... in the Emergency ... high voltage Cardiac ... immediate, prior to ED arrival ... Evaluation #Diagnosis #Management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
left heart 3-6 cardiac ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... #treatment #hepatology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... quantify renal injury ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... differential #diagnosis #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Transthoracic echocardiogram ... ventricular size, Right atrial ... pressure, Pulmonary ... Hypertension #diagnosis #management ... #hepatology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... : • New cardiac ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause Injury ... Endocarditis #diagnosis #management
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
echo contrast material ... Here is the cardiac ... described for Pulmonary ... Clinical #POCUS #Echocardiogram ... #Definity #A4C
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... days before Pulmonary ... postoperative cardiac ... medical and surgical management
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
What do you see ... liver disease and pulmonary ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... clinical #pocus #a4c
Fusarium Infections
Acquired through:
1. Inhalation of airborne conidia > germinates > blood > disseminated
2. Trauma (implantation with
cases, median -3d ... Refractory FUO, Sino-pulmonary ... • Depending on the ... type of injury ... infectiousdiseases #diagnosis #management
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
inflammatory cytokines in the ... Related Acute Lung Injury ... • Transfusion Cardiac ... RBCs (stored at 4C ... Transfusion #diagnosis #management