33 results
Complicated Parapneumonic Effusion (CPPE) on Pleuroscopy

We know that pH can vary in different locules in CPPE.
Parapneumonic Effusion (CPPE ... different locules in CPPE ... important to Rx as CPPE ... Pleural #Effusion #CPPE
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
vast majority of cases ... pyrophosphate dihydrate (CPPD ... and/or x-ray - CPPD ... Chondrocalcinosis #Pseudogout #CPPD
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
then wait 3min, pre-ox ... but also reduces CPP ... = dilated BV = raises ... expansion of bleed • CPP ... Target CPP 60.
Monoarthritis - Differential Diagnosis
Infection (Acute):
 - S. aureus (most common)
 - S. pneumonia
 - Salmonella (in
birefringent - CPPD ... Differential #Diagnosis #Causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Artery Disease • Stable ... • Asthma • COPD ... Pneumonia • ARDS • COPD ... Diagnosis #Algorithm #Causes
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Cardiovascular Causes ... Tamponade Pulmonary Causes ... - Asthma - COPD ... Vasculature: - PE ... syndrome Other Causes
Underlying causes of PEA arrest: H’s and T’s 

Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia
Toxins, Tamponade,
Underlying causes ... lungs: massive PE ... Differential #Diagnosis #Table
COVID-19 patient Extubation
Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
PPE required ... extubate on theatre table ... Perform final pre-extubation
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Disease (Asthma, COPD ... • Vascular (PE ... Diagnosis #Algorithm #Causes
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... nephrocalcinosis • CPPD ... → Low ALP -> PPi ... accumulate → PPi ... Phosphatase: • Other causes