9 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... #criticalcare #algorithm ... #treatment #management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... ) - Diagnosis and ... , cefotaxime) SBP ... #Peritonitis #SBP ... #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , abdominal pain ... , mortality in SBP ... #diagnosis #management
“Step by Step” – the new kid on the block – aims to risk stratify this
bacterial infections (SBI ... components of the algorithm ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... Infant #StepByStep #Algorithm
Pneumonia on POCUS

Otherwise healthy 12mo-old w/ fever. Linear & phased array viewing the lung (subpleural &
healthy 12mo-old w/ fever ... array viewing the lung ... >1cm, supports diagnosis ... ABx & dc if no significant ... #ultrasound #pediatrics
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... On cipro for sbp ... #SBP #clinical ... #ultrasound #abdominal
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... unless prior heart/lung ... undergoing AAA or upper abdominal ... medical and surgical management ... stratification #diagnosis
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain/fever ... Ill-appearing, low BP ... Diagnosis? ... Life threatening ... #clinical #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... second ribs.1 If ... consider intra-abdominal ... Radiology #CTChest #Lung