40 results
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
normal mental status ... • Seizures (6 ... generalized tonic-clonic seizures ... postictal period; status ... Withdrawal #Timeline #etoh
Alcohol Use Disorder: Pathogenesis and Clinical Findings

 • Tolerance (reduced sensitivity to effects of EtOH)
 •
Alcohol Use Disorder ... Pathogenesis and Clinical ... to effects of EtOH ... exacerbated by EtOH ... tremor, insomnia, seizure
Alcohol Withdrawal Timeline

Stage 1 (8 hours) : Anxiety, insomnia, nausea, & abdominal pain
Stage 2 (1-3 days):
Alcohol Withdrawal ... insomnia, nausea, & abdominal ... Hallucinations, fever, seizures ... Timeline #diagnosis #stages ... #etoh
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
algorithm for alcohol ... into meaningful clinical ... fails to achieve clinical ... disorder and avoid seizure ... #EtOH #Withdrawal
Appendicitis on POCUS

Gorgeous appendicitis just beneath the peritoneal line with the psoas mm laterally.

Labeled Schematic: https://twitter.com/EUSmkh/status/841741820375797762

#Appendicitis
twitter.com/EUSmkh/status ... appendix #POCUS #clinical ... #ultrasound #abdominal
Free Air at the Peritoneal Line on POCUS

Chief Complaint: "my girl stabbed me"

Labeled Diagram: https://twitter.com/EUSmkh/status/752864010337415169

- Dr.
twitter.com/EUSmkh/status ... EUSmkh #FreeAir #Abdominal ... #POCUS #Ultrasound ... #Clinical #Intraabdominal
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
Alcohol Withdrawal ... • Withdrawal Seizures ... usually generalized seizures ... - Status epilepticus ... treatment #management #etoh
Gastroschisis on POCUS

Common ED complaint--VB/OB.  G1P0.  No heart tones heard so POCUS done.
Note abdominal wall ... twitter.com/RJonesSonoEM/status ... Gastroschisis #POCUS #clinical ... #ultrasound #obgyn
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
amphetamines, alcohol ... - Medications: statins ... strep) - Seizures ... immobility • Critical ... - Medications- Statins
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... twitter.com/EUSmkh/status ... Complex #POCUS #clinical ... #ultrasound #SBP