87 results
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
PATIENT'S LEGS TEST ... FOR FLUID RESPONSIVENESS ... ECHO/POCUS
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... Step 2: Pre-test ... Develop a pre-test ... assign a final post-test ... #ultrasound #management
Urination on Fetal Ultrasound

Lest we forget, here is a vivid reminder that amniotic fluid is predominantly
Ultrasound Lest ... that amniotic fluid ... Urination #Ultrasound #POCUS
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... patient after IV fluids ... Management? ... additional IV fluids ... LVOTO #SAM #HOCM #POCUS
Free fluid + empty uterus + positive pregnancy test = better start looking for a mass!
If
Free fluid + empty ... positive pregnancy test ... Pregnancy #Ultrasound #POCUS
Fluid Analysis 
A systematic approach to analysis of the fluid in conjunction with the clinical presentation
Fluid Analysis ... analysis of the fluid ... diagnoses, & design a management ... infectious disease tests
Scapholunate Ligament Rupture on POCUS

MSK Ultrasound of the scapholunate ligament. Dynamic exam of Scapholunate ligament rupture.
Ligament Rupture on POCUS ... MSK Ultrasound ... rupture. - squeeze test ... replace the clinical tests ... #pocus
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... • Overnight fluid ... physically pushes fluid ... motion (relieved by rest ... Comparison #Versus #MSK
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
of flow) Face Mask ... Device: Face Tent ... ~40% Venturi Mask ... support #devices #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... Liver function test ... moderate amount fluid ... resuscitation (e.g. fluid