51 results
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ameliorate increased work ... provide oxygen and positive ... oxygenation; remove work ... #Shock #Management
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Echocardiogram (A4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... (i.e. entirely positive ... axis") — QRS is positive ... - Fusion beats ... #ekg #cardiology
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
deflection in aVR positive ... dissociation (fusion ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
patient has a positive ... • History of BCG ... immunocompromised (e.g ... negative NAAT result cannot ... Testing #Diagnosis #Workup
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... supine to upright position ... Arterial blood gas (ABC ... air in seated position ... SpO2 > 88% • Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Noninvasive Positive ... status • Won't Work ... - Cannot initiate ... Clinical Worsening - Cannot ... #criticalcare #management
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Echocardiogram (S4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
echocardiogram to workup ... circumferential pericardial effusion ... Echocardiogram #a4c ... pocus #clinical #cardiology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... balance >3-4 liters positive ... pain-dose ketamine infusion ... Checklist #Diagnosis #Management