14 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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... differential #diagnosis #management ... #treatment
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 ... ) on room air Treatment ... #treatment #hepatology
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 ... pressure < 15mmHg TREATMENT ... Hypertension #diagnosis #management
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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... , rhabdo/crush injury ... - ↓ Effective arterial ... and Elimination (see ... line, stabilizes cardiac
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
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
Fusarium Infections
Acquired through:
1. Inhalation of airborne conidia > germinates > blood > disseminated
2. Trauma (implantation with
cases, median -3d ... Refractory FUO, Sino-pulmonary ... disease: • Optimal treatment ... type of injury ... infectiousdiseases #diagnosis #management