7 results
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
cycle found in the liver ... metformin binds to complexes ... of MALA - Abdominal ... presentation - Clinical ... #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... distension, wheeze, abdominal ... Chest x-ray: signs ... #management #cardiology
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Mycobacterium tuberculosis complex ... Avium Complex (MAC ... (elevations of liver ... enzymes, diarrhea, abdominal ... • Dyspnea, • Chest
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... s/p colectomy, liver ... care center for diagnostic ... #SBP #clinical ... #ultrasound #abdominal
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... change CV risk Chest ... unless prior heart/lung ... undergoing AAA or upper abdominal ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... consider intra-abdominal ... bleeding often from a liver ... #Radiology #CTChest ... #Lung #Pulmonary
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Pulmonary 3) Abdominal ... aches, joint pain, chest ... change in the lungs ... #Management #Infections