84 results
Checklist for SBT with Suspected Cardiovascular Causes of Failure in Mechanical Ventilation Weaning

#Mechanical #Ventilation #Weaning #SBT
Checklist for SBT ... Cardiovascular Causes ... of Failure in Mechanical ... #Management #Cardiovascular ... #Failure #Diagnosis
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
urinalysis, labs - Management ... Diuretics if heart failure ... Glomerular (red blood ... eosinophils/white blood ... treating underlying cause
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
for a PERIPHERAL cause ... Video by Dr. ... Nystagmus #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Kussmaul's Sign on Physical Exam

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

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biventeicular failure ... accept increased blood ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... causing heart failure ... • Aggressive management ... #Endocarditis #checklist ... criticalcare #diagnosis #management
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
embolism +++, Heart failure ... serology: Serial negative ... Frequent false-negative ... embolism +, Heart failure ... in up to 30% of cases
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Endocarditis (IE) Has Negative ... Blood Cultures ... therapy - Number one cause ... of culture negative ... BloodCultures #Diagnosis #Management
Hyphema on Physical Exam

Hyphema is a collection of blood in the anterior chamber of the eye,
collection of blood ... the eye, usually caused ... #Hyphema #PhysicalExam ... #clinical #video
Cheyne-Stokes Respirations - Also known as periodic respiration, Cheyne-Stokes (RCS) is a type of central sleep
growing-decreasing rhythm RCS negatively ... affects blood oxygen ... Breathing #Pattern #PhysicalExam ... #Clinical #Video
Hydroxychloroquine Serum Measurement in SLE
 • Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
intake) • Target blood ... Insufficient blood ... • Special cases ... (e.g. renal failure ... levels #lupus #management