17 results
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
immunocompromised (e.g ... used to exclude pulmonary ... Testing #Diagnosis #Workup ... #TB #Latent #Active ... #LatentTB #ActiveTB
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... surgery, trauma, active ... - No other workup ... Hypercoagulable #Workup
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
POCUS Echocardiogram ... Adolescent patient ... found what the lab work ... , EKG and CXR didn ... Myxoma #POCUS #Echocardiogram
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... , atrial fibrillation ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
FiO2 35-50% Face Tent ... tight-fitting mask (e.g ... . facial trauma, ... Devices #management #pulmonary ... #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... -Serial evaluation ... patient's diagnosis (e.g ... off” CO2 in a patient ... #Management #CriticalCare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
in rom - Patient ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary ... Management #Summary #criticalcare
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Regularity: Have the patient ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... /Afib/WPW) • Loss
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... /min): • Dial in ... resistance in patient ... Assess perfusion (eg ... #criticalcare
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... recent DAN) • EMG ... blood retum in serial ... and hemosiderin laden