47 results
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... ) Examination: Pulmonary ... the underlying cause ... #criticalcare #pulmonary
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Bunnel-Littler PIP Joint Test ... joint capsule cause ... tight intrinsic muscles ... BunnelLittler #Test ... clinical #video #msk
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... N/V (60-90%), Muscle ... A STIM test can ... ACTH STIM TEST: ... Secondary #Diagnosis #Management
REBEL Review 99: Serotonin Syndrome via Yosuf Alam, MSIV

Presentation: Altered mentd status, Seizures, Myoclonus, Hypertension, Hyperthermia
Hyperthermia (most common cause ... Hyperreflexia, Muscle ... confirmatory lab tests ... SerotoninSyndrome #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... mortality), Other causes ... airway / remove mask ... Ventilation #diagnosis #management ... #indications #pulmonary
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
of flow) Face Mask ... Device: Face Tent ... ~40% Venturi Mask ... support #devices #management ... #pulmonary #comparison
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
in diminished muscle ... Respiratory muscles ... Bedside: ice pack test ... /Edrophonium test ... Gravis #diagnosis #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... failure • Severe pulmonary ... agglutination - test ... diagnosis #treatment #management
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... rule out other causes ... Malnutrition, TIPS West ... • Skeletal muscle ... promote building muscle
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
retention of exhaled gases ... Venturi Mask (venti-mask ... • Uses either ... Delivery #FiO2 #Pulmonary ... Equipment #Devices #Management