13 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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accept increased blood ... infarct, and other rarer ... causes of right-sided ... physicalexam #clinical #video ... #jvp #cardiology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... injury • Blood ... Blood transfusion ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... injury • Blood ... Blood transfusion ... differential #diagnosis #causes ... #potassium #high
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... blood flowing backwards ... PhysicalExam #Clinical #Video ... #Jugular #JVP #Cardiology
Causes of Hyperkalemia
Pseudohyperkalemia
 - Tourniquet use
 - Hemolysis (in vitro)
 - Leukocytosis
 - Thrombocytosis
Intra- to extracellular
Causes of Hyperkalemia ... load - Potassium ... Transfusion of aged blood ... Rhabdomyolysis/crush ... #Hyperkalemia #Causes
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... invasive arterial blood ... abnormalities particularly potassium ... consultation with cardiology ... Guidelines for crises
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
maculopapular rash ... Causes purpura & ... TRALI): Leading cause ... potassium from ... more likely to cause
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
maculopapular rash ... Causes purpura & ... TRALI): Leading cause ... potassium from ... more likely to cause
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Immobilization - Crush ... UA positive for blood ... Monitor potassium ... Diagnosis #Management #causes
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
It is caused by ... blood flowing backwards ... PhysicalExam #Clinical #Video ... Neck #Jugular #Cardiology