8 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD Causes ... GI Bleed: • Peptic ... idiopathic, liver, CTD, renal ... Differential #Diagnosis #management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Bleeding (64%) • Renal ... Treat primary cause ... 100mg/dL) - Heparin ... Coagulation #diagnosis #causes ... #treatment #management
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
 -
Abdominal pain, nausea ... coagulopathy, renal ... post-ingestion) - Massive hepatic ... leads to acute hepatic ... Toxicology #Diagnosis #Management
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
• Higher doses cause ... anaphylaxis, 2nd line in septic ... 2 mcg/kg/min): renal ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
Hepatic Metastases ... Focused renal u/ ... Note hepatic masses ... RJonesSonoEM #Hepatic ... POCUS #clinical #ultrasound
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
Hepatic Metastases ... Focused renal u/ ... Note hepatic masses ... RJonesSonoEM #Hepatic ... POCUS #clinical #ultrasound
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
lower risk of renal ... Point of Care Ultrasound ... cardiac output causes ... comparison #challenges #management
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
RBC's, cellular casts ... with cystoscopy & renal ... ultrasound ... Microscopic #diagnosis #management