289 results
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective ... associated with difficult ... PAPILLA: can be difficult ... the MPD & CBD: difficult ... ALTERED ANATOMIES: Billroth
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... list of multiple masses ... Sometimes it is difficult ... consolidations from masses
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
average settings • Causes ... gas equation • Causes ... DIFFUSION DISORDER • Difficulty ... • Most common cause ... to hypoxemia • Causes
Pulmonary Artery Aneurysm on Echocardiogram

Aneurysm of RPA with thrombus appear as a huge mass compressing LA/mass
A case of VSD Eisenmenger ... Difficult to manage ... Echocardiogram #POCUS
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
Post-Concussive Syndrome
Thinking/Remembering 
 • Difficulty thinking clearly 
 • Feeling slowed down 
 • Difficulty concentrating
Remembering • Difficulty ... slowed down • Difficulty ... concentrating • Difficulty ... Headache • Nausea
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
Airway (Patent, difficult ... - Tube feeds (Pause ... (Sedation off, passes
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Treat underlying cause ... : • Causes can ... day • Can be difficult ... administered • Can cause
Attention Deficit Hyperactive Disorder (ADHD): Pathogenesis and clinical findings
 - For diagnosis, must have either 26
by a motor" • Difficulty ... completed • Difficulty ... their turn • Causes ... Inattentiveness • Difficulty ... to detail • Difficulty
Stages of Migraine
 • Prodromal or Premonitory Phase (1-2 days): Fatigue, Yawning, Food cravings, Pallor, Nausea,
cravings, Pallor, Nausea ... to light/noise, Difficulty ... Phase (up to 48h): Difficulty ... noise / odors, Difficulty