21 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... shunt (Type 2) Clinical ... cycles after right atrial ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Coxsackie, CMV, EBV ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
antibody, Anti-GBM ... usually low in anti-GBM ... LVEF, pericardial effusion ... blood retum in serial ... #management #treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... : conjunctival suffusion ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #treatment #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... regurgitation) Diagnosis ... • Ventilation-perfusion ... defects • Confirm diagnosis ... #management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Finger deformity caused ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #XRay #Diagnosis
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
ventricle (RV), right atrium ... (LV) and left atrium ... small pericardial effusion ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... the underlying diagnosis ... #PhysicalExam #Clinical ... #Video #Cardiology
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... Discharge home with close ... MH/CCF/CWRU EM ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
will vary with clinical ... Can also be dosed ... Propofol infusion ... #CriticalCare #diagnosis ... #management