11 results
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... organ damage • Treatment ... unless worrisome EKG ... diagnosis #management #hematology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Clot in Transit on POCUS Echocardiogram

Not something you ever want to see! How much should clot
Transit on POCUS Echocardiogram ... something you ever ... - VCU Ultrasound ... ClotInTransit #POCUS #Echocardiogram ... clinical #s4c #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Endocarditis on POCUS Echocardiogram ... presents with fever ... Blood Cx grew staph ... PLAX #clinical #ultrasound ... #cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... is desirable, e.g ... radiation dose Ultrasound ... diverticulae). degree and level ... stones #calculus #Radiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Endocarditis on POCUS Echocardiogram ... presents with fever ... emboli (see CT cor ... Endocarditis #POCUS #Echocardiogram ... #clinical #cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... interventional radiology ... or HSCT - CRS: fever ... therapy - Symptoms: fever
Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP
Cardiomyopathy on POCUS Echocardiogram ... but worsening-fever ... ECG Trop I 1.13. ... Cardiomyopathy #POCUS #Echocardiogram ... #ultrasound #Cardiology
Acute Recurrent Pericarditis
= recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4
RED FLAGS: Fever ... manifestations, TREATMENT ... diagnosis #management #treatment ... #rheumatology # ... cardiology