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management clinical 1: cardiology diagnosis pocus screening testing treatment 2: 3: cancer colon colorectal comparison crc echocardiogram gastroenterology pharmacology primarycare
REBEL Review #91: Management of Peripheral Pressor Extravasation #peripheralpressors #vasopressors #extravasation
REBEL Review #91
Running out of Analgesia and Sedation Medications due to #COVID19? Anand Swaminathan, MD has put
Running out of Analgesia and Sedation Medications due to #COVID19? Anand Swaminathan, MD has put together a list of possible options in REBEL Review #97: Sedation and Analgesia Alternative Medications #management #covid19 #treatment #sarscov2 #criticalcare #coronavirus #medications #sedation #sedative #analgesia #pharmacology #alternatives #Drugs
Algorithm for the Treatment of Severe Hypoglycemia Step #1: IV dextrose bolus Step #2: food (if
Algorithm for the Treatment of Severe Hypoglycemia Step #1: IV dextrose bolus Step #2: food (if possible) Step #3: dextrose infusion Step #4a: steroid Step #4b: octreotide #Algorithm #Treatment #Severe #Hypoglycemia #Management #Endocrinology
Calcifications Around the Heart on Chest XRay Case #1: This appearance is typical of pericardial calcification &
Calcifications Around the Heart on Chest XRay Case #1: This appearance is typical of pericardial calcification & is associated w/ constrictive pericarditis. Case #2: The "tubular" calcifications are coronary atherosclerotic calcifications in the LAD. The proximal LAD is stented: note the more mesh-like appearance of the metallic struts. Case #3: This is calcified myocardium from an old myocardial infarction. By Dr. Stefan Tigges @StefanTigges #Calcifications #Heart #Chest #XRay #CXR #radiology #cardiology #clinical
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with end-stage liver disease and pulmonary hypertension? 1. Early transit of bubbles = PFO 2. Late appearance with replenishment via pulm veins = intrapulmonary. #2 c/w hepatopulmonary syndrome #1: Pulm HTN (portopulmonary or other) causing ⬆️ RA pressure and R➡️L shunt as RAP>LAP as atrial septum shifts left In addition to dilated and probably dysfunctional RV, R-L shunt in two phases, first likely due to stretched PFO or ASD, and later (after ~5 seconds) appears to be coming from PVeins (extra-cardiac shunt in cirrhosis). by David H. Wiener, MD @DavidWienerMD #DoubleShunt #Echocardiogram #clinical #pocus #a4c #intrapulmonary #cardiology #saline #contrast
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 TypeA Aortic Dissection on POCUS Echocardiogram 80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
BP 91/62, HR81,
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 The value of point-of-care ultrasound for detecting nail bed injury in [the] ED American Journal of Emergency
98.4%* spec (CI 91
Mobilization with Femoral ECMO Femoral ECMO cannulation IS NOT a contraindication for mobilization, even sitting or walking.
pneumonia patient, 91
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 Treatment Regimens and Expected Early Efficacy Rates for Acute Uncomplicated Cystitis • Nitrofurantoin monohydrate / macrocrystals
single-dose sachet) - 91%
Screening Tools for Alcohol Use • Single Item - 82% sens, 79% spec for "unhealthy use"
Women: 73% sens, 91%
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