14 results
D-Sign in a lady with Massive PE - The LV should always be round like a
D-Sign in a lady ... When ↑ pulmonary ... EM_RESUS #Clinical #POCUS ... #Cardiac #Echocardiogram ... #PSAX #DSign #MassivePE
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... #differential #diagnosis ... #management #treatment
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
left heart 3-6 cardiac ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... supplemental oxygen if ... #hepatology
This is a parasternal short axis view in a patient with extensive pulmonary emboli on CTA.
with extensive pulmonary ... Physician #Clinical #POCUS ... #Cardiac #Echocardiogram ... #PSAX #DSign #RVStrain
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... Transthoracic echocardiogram ... RVSP) - Estimates pulmonary ... hemodynamics Liver ... #management #hepatology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
- 80% have fever ... lethargy, hematuria, cardiac ... with tetany or cardiac ... Syndrome #TLS #diagnosis ... #management #hematology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Prophylaxis: • Attempt if ... high risk if WBC ... Subacute-Acute: • Common: fever ... Imaging: CXR- pulmonary ... #management #hematology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... ULN • Protein: level ... cardiac ascites ... #Hepatology #SAAG
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... night sweats, fever ... : • New cardiac ... Cerebral > Splenic, pulmonary ... #management #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... circulation If ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary