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diagnosis clinical coagulation differential aptt metastases metastatic prolonged pt air algorithm bleeding bruising congestion cryofibrinogenemia dic disseminated doppler excess grading
VExUS - Venous Excess Ultrasound Score The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
of the portal, hepatic ... and interlobular renal ... Hepatic Doppler ... still toward the liver ... Congestion #Diagnosis #POCUS
Causes of Bleeding / Bruising - Differential Diagnosis Algorithm Thrombocytopenia - Quantitative Defect • Decreased Production •
Causes of Bleeding ... Destruction • Abnormal ... ASA) • Renal Disease ... Iatrogenic) • Liver ... #Hematology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... portal venous system ... variety of other causes ... #hepatology #liver ... #pocus #clinical
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 Hepatic Metastases on POCUS Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... with history of colon ... Focused renal u/ ... Note hepatic masses ... #ultrasound #metastatic
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 Hepatic Metastases on POCUS Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... with history of colon ... Focused renal u/ ... Note hepatic masses ... #ultrasound #metastatic
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 Differential Diagnosis for a Prolonged PT and aPTT If the PT and the aPTT are both prolonged,
(e.g. heparin contamination ... • Reduced liver ... associated with systemic ... amyloidosis #Abnormal ... #differential #hematology
Causes of Abnormal PT and/or aPTT Prolonged Prothrombin Time (PT) 1. Acquired deficiency of FVII
Causes of Abnormal ... Early liver disease ... Reduced liver synthesis ... associated with systemic ... #differential #hematology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Bleeding (64%) • Renal ... DIC • Severe Liver ... Treat primary cause ... Coagulation #diagnosis #causes ... treatment #management #hematology
Normal hepatic vein Doppler Ultrasound tracing 1) a large antegrade waveform (negative velocity) noted during early and
Normal hepatic vein ... Doppler Ultrasound ... antegrade waveform (negative ... relaxation and systolic ... tracing #diagnosis #pocus
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 Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
cooled from the normal ... processes: • Systemic ... levels >1g/L • Negative ... causes of secondary ... #hematology
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