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clinical diagnosis differential echocardiogram ultrasound nephrology cardiology management algorithm pericardial treatment abdominal pulmonary sbo msk obstruction tamponade a4c aortic dissection
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
Total loop diuretic ... as continuous infusion ... or bolus infusion ... maximal dose for IV loop ... following a single loop
Massive Pericardial Effusion on Echocardiogram I recently saw the largest pericardial effusion of my life. Something out
Massive Pericardial Effusion ... largest pericardial effusion ... out of a text book ... #Pericardial #Effusion ... Echocardiogram #POCUS
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 US demonstrating a dilated loop of bowel with retrograde peristalsis (to and from sign or "whirling")
demonstrating a dilated loop ... ) #Clinical #POCUS
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 Internal Jugular Vein Rouleaux Flow on POCUS Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... Always look for ... underlying cause ... Jugular #IJ #Vein #POCUS
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 Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
Causes of High-anion ... Metabolic Acidosis Causes ... and chronic) Causes ... Ureterosigmoidostomy, jejunal loop ... , ileal loop
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Urine Mg > 10g • Loop ... Magnesium #Low #Causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
• HTN Absent: Loop ... Diagnosis #Algorithm #causes
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... • Thiazide or loop ... • Thiazide or loop ... reabsorption in loop ... Differential #Diagnosis #Causes
Notice that there are multiple densities in both lungs. The larger ones are ill-defined and maybe there
multiple ill-defined masses ... also known as BOOP ... OrganizingPneumonia #BOOP
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... • Diuretics (loop ... Diagnosis #Algorithm #Causes
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