42 results
Kussmaul's sign in a patient with suspected pulmonary embolism

 - Dr. David Juurlink
@DavidJuurlink

Kussmaul sign is a
Kussmaul's sign ... with suspected pulmonary ... venous pressure (JVP ... forms of heart disease ... #Kussmauls #Signs
ILD of Known Cause - Differential Diagnosis
Exposure:
 • Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 • Treatment Related:
ILD of Known Cause ... Pneumonitis • Treatment ... Connective Tissue Disease ... BrighamChiefs #ILD #Causes ... #pulmonary
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... by pulmonary HTN ... because she also has Kussmaul's ... have elevated JVP ... #Giant #PHTN #JVP
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Distributive Shock - Low JVP ... Left-sided Valvular Disease ... Sounds • Pulmonary ... Diagnosis #Algorithm #causes
Rapidly Growing Mycobacterial Infections

 • Mycobacterium abscessus - Is the most pathogenic and the most likely
most likely to cause ... pulmonary infection ... underlying lung disease ... It can also cause ... #differential #infectiousdiseases
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treat underlying cause
Classification of Diabetes Insipidus

Central or neurogenic diabetes insipidus:
 - Congenital - Structural malformations affecting the hypothalamus
gene encoding AVP-NPII ... granulomatous diseases ... Primary renal disease ... uropathy, Metabolic causes ... Treatment is aimed
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Presentation: • Mild disease ... non-productive cough, nausea ... failure • Severe pulmonary ... disease ARDS Diagnosis ... microbiology #diagnosis #treatment
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
has a number of causes ... restrictive lung disease ... Kussmaul breathing ... Breathing In lung disease ... Breathing #Patterns #Pulmonary
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... hemorrhage • Treatment ... Lung #Abscess #pulmonary ... #differential #causes ... #management #treatment