9 results
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 ... cycles after right atrial ... blood gas (ABC)
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... peripheral vs axial ... lasting > 30 mins - 1 ... OLIGOARTHRITIS • 2- ... Differential #Diagnosis #MSK
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... left to right shunt ... 2. ... echocardiogram #s4c ... #pocus #bubble
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
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
include stiffness, arthritis ... • Mechanism: Axial ... consult: No, if <1 ... within the next 2- ... #Orthopedics #MSK
Preoperative Risk Evaluation

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