10 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... - Most Common Cause ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... #Embolism #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... possibly renal ... failure Clinical ... symptoms are not caused ... e.g. incidental CXR
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Summary Causes ... Dermatomyositis Clinical ... Features: • Triad ... ) • AKI: BUN/Cr
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... Clinical Presentation ... right atrial passage
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... stretched PFO or ASD ... , and later (after ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Caused by splanchnic ... Diagnosis (Clinical ... Normal kidney ultrasound ... (formerly Type 1) ... (1 g/kg/day)
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... interventional radiology ... immediate treatment 1. ... , hypotension, renal ... Oncology #HemeOnc #Diagnosis
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
stone WBC 12.5 Cr ... LFTs normal Diagnosed ... bedside assessment 2) ... POCUS, with clinical ... #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
clinical judgement ... /50 Rule (part 1) ... second ribs.1 ... Most commonly caused ... #Radiology #CTChest