8 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... visualized in the left atrium ... with intracardiac shunt ... #bubble #shunting ... #hepatology #clinical
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... 1) or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... #hepatology
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
immediate, prior to ED arrival ... MSK - Fractures ... especially with AC ... Electricity #Evaluation #Diagnosis ... #Management #Emergency
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Variceal Bleeding - Diagnosis ... and Management ... portosystemic shunt ... #Management #treatment ... endoscopy #varices #hepatology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential Diagnosis ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
• Triggers: ATRA ... HoTN, edema and effusions ... or 15 days of ATRA ... WBC • Continue ATRA ... #management #hematology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Addressing the ICU Triad ... ICU Liberation Bundle ... Propofol infusion ... #CriticalCare #diagnosis ... #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indication of AC ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis