10 results
Spirometry - PFT Interpretation Algorithm

- BWH Medicine Chiefs @BrighamChiefs

#Spirometry #PFTs #Interpretation #Algorithm #diagnosis #differential #pulmonary #function
Spirometry - PFT Interpretation ... Algorithm - ... #Algorithm #diagnosis ... differential #pulmonary #function ... #testing
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function ... Testing (PFT) Interpretation ... Algorithm Restrictive ... #Testing #PFT # ... PFTs #Interpretation
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm
Thrombocytopenia - Quantitative Defect
 • Decreased Production
 •
Causes of Bleeding ... Differential Diagnosis Algorithm ... Disordered Platelet Function ... #Bleeding #Bruising ... Differential #Diagnosis #Algorithm
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Intravascular Coagulation ... Findings: • Bleeding ... Findings: • Bleeding ... venipuncture sites Laboratory ... abnormalities - PLT, FFP
Indications for Transfusion
Packed RBCs
 • Hgb <7 g/dL or hematocrit <21% in a patient with uncompromised
cardiovascular function ... transfuse platelets in setting ... with INR > 10 • FFP ... in the setting ... RBCs #Platelets #FFP
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework

== Quantitative or Qualitative defect in
Bleeding and Bruising ... inhibitor of a coagulation ... intravascular coagulation ... causes are liver function ... fibrinogen levels, and testing
Thromboelastography (trademarked as TEG)
 • Graphical representation of the fibrin polymerization process
 • Point-of-care anti-coagulation monitoring
Point-of-care anti-coagulation ... routine transfusion algorithms ... deficiency → give FFP ... Thromboelastogram #TEG #interpretation
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... Functional status ... event, follow ACC algorithm ... - what is the bleeding ... surgery Stress Testing
Oral anticoagulants and reversal/hemostatic strategies. 

In the elegant tug-of-war between thrombosis and hemostasis, prescribing an anticoagulant
is essentially telling ... Andexanet alfa, which function ... negotiation with a coagulation ... aPCC #Plasma #FFP ... #Bleeding #hemostasis
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... confirmed via genetic testing ... in most cases; interpretation ... dependent upon local laboratory ... #differential #algorithm