11 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Embolism on POCUS ... Echocardiogram ... your next step in management ... followed by 90mg iv ... #clinical #ultrasound
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Dehydration Shock Treatment ... #criticalcare #algorithm ... #treatment #management
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
exam • Confirm IV ... • Concise one-liner ... Orders placed, treatments ... questions "Never ... Response #Team #RRT #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... heart failure, liver ... heart failure, liver ... heart failure, liver ... heart failure, liver
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... Transthoracic echocardiogram ... pressure < 15mmHg TREATMENT ... hemodynamics Liver ... Hypertension #diagnosis #management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
stores in the liver ... beta-oxidation in the liver ... elevates the stress level ... #differential #algorithm ... #management #treatment
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... Treatment: Treatment ... through a peripheral IV ... include vaptans (HF/liver ... #management #nephrology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
risk PE, Pulmonary ... vasculitis: 10%-16% Liver ... phenomenon (16%) MSK ... Adenocarcinoma Treatment ... Rheumatology #Diagnosis #Management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... not possible • Ultrasound ... Dual-energy CT → MSU ... allopurinol • IV ... • Serum urate level