41 results
Massive Pericardial Effusion on Echocardiogram

I recently saw the largest pericardial effusion of my life. Something out
Massive Pericardial Effusion ... on Echocardiogram ... Something out of a text ... #Echocardiogram ... #POCUS #Clinical
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... Direct antiglobulin test ... normal • DAT negative ... Differential #Diagnosis #Management ... #Algorithm #hematology
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS Echocardiogram ... Apical approach had best ... Pericardiocentesis #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #effusion
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Diagnosis and Management ... spread of the Gram-negative ... the preferred test ... accessible joint effusion ... the workup • Test
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... antibody (ANA) test ... ANAs; thus, a negative ... ANA and RF (if clinical ... diagnosis #testing #Rheumatology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Diagnosis and Management ... 40, F:M 9:1 • Clinical ... pANCA anti-MPO - Negative ... Usual therapeutic management ... #Summary #rheumatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Pulmonary: pleural effusion ... Disease #diagnosis #management ... #treatment #rheumatology
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Embolism on POCUS Echocardiogram ... your next step in management ... followed by 90mg iv infusion ... Embolism #POCUS #Echocardiogram ... #clinical #ultrasound
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... Epidemiologic exposure + clinical ... agglutination - test ... diagnosis #treatment #management
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Related Disease Clinical ... • Some false negative ... specific laboratory tests ... Disease #diagnosis #management ... workup #treatment #rheumatology