11 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... left to right shunt ... 2. ... opacification by agitated saline ... #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
defect (Type 1) ... or anatomic shunt ... (Type 2) Clinical ... injected agitated saline ... blood gas (ABC)
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
peripheral vs axial ... (spine, shoulders ... lasting > 30 mins - 1 ... OLIGOARTHRITIS • 2- ... Differential #Diagnosis #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
include stiffness, arthritis ... • Mechanism: Axial ... immobilize • Splint ... within the next 2- ... #Orthopedics #MSK
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Diagnosis and Management ... decade → peripheral/acral ... before epiphyseal fusion ... Pituitary MRI+contrast ... • 1st line - Transsphenoidal
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
ICU Liberation Bundle ... Total scores >2 ... Target -1, but will ... Propofol infusion ... CriticalCare #diagnosis #management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Epidemiology: • F > M: 9:1 ... thickening or effusion ... phenomenon (16%) MSK ... Arthralgia and Arthritis ... Rheumatology #Diagnosis #Management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... to Manifest: 1. ... Hyperuricemia 2. ... frequent attacks • Arthritis ... not possible • Ultrasound
CDC - HOW TO SAFELY REMOVE PERSONAL PROTECTIVE EQUIPMENT (PPE) 
There are a variety of ways
following sequence: 1. ... gloved hand • Slide ... waste container 2. ... sleeves don’t contact ... Removal #Checklist #Management