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Our approach to the diagnosis and initial management of patients with suspected HIT. Our approach is
diagnosis and initial management ... based primarily on clinical ... laboratory tests ... #Diagnosis #Management ... #Hematology #HIT
Molluscum Contagiosum 
Clinical 
 • Most common in school-age children 
 • Transmitted by direct contact
Contagiosum Clinical ... extremities • Spares ... palms and soles Management ... Contagiosum #Diagnosis #Clinical ... #Management #Dermatology
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... Ratio Step 1: Clinical ... with a focused clinical ... probability based on clinical ... #ultrasound #management
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
Diagnosis: • Clinical ... approach for post-test ... : Confirmatory test ... non-heparin A/C if clinical ... #Treatment #Hematology
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care

TRICC - NEJM 1999 -
Major Clinical Trials ... Thresholds in Critical ... NEJM 1999 - ICU FOCUS ... - NEJM 2011 - Hip ... Transfusion #Thresholds #Hematology
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... Use compression ultrasound ... that the needle tip ... #Guided #POCUS ... Catheter #Venous #Management
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
ITP - APLS - HIT ... Fecal occult blood test ... • Abdominal ultrasound ... Algorithm #Causes #dermatology
Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound

A 31yo female s/p tubal ligation presents with right lower
Transvaginal Pelvic Ultrasound ... What is the best ... will not change management ... Transvaginal #Pelvic #Ultrasound ... #POCUS #clinical
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
disease • Pull test ... texture at bald spots ... Initial Laboratory Tests ... Dermatitis (Consider HIV ... Differential #Diagnosis #dermatology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
cellulitis w/ black spots ... hemolytic anemia, CKD, hiv ... Early abx are critical ... rash #cellulitis #dermatology ... #legs #clinical