289 results
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Goal correction ... Overcorrection of ... #Hyponatremia #Correction
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
improved headache and nausea ... first 5 hours. 4) Correction ... therapeutically re-lower overcorrection
Patch dehiscence (post surgical correction of congenital VSD) on Echocardiogram

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#VSD #Patch #dehiscence
(post surgical correction ... PSAX #clinical #pocus
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... the underlying cause ... and avoid rapid correction ... (max rate of correction ... /L/day) Rapid correction
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
The target for correction ... hypertonic saline correction ... FE Urate post correction ... SIADH — look for cause ... hourly • Identify Cause
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
Pes Anserine Bursitis - MSK Radiology
Imaging Findings:
 • T2-hyperintense fluid-like signal along the medial aspect of
Case description ... Well-defined fluid collection ... SURE to exclude connection ... Parameniscal cyst: connection
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
subcostal 4-chamber POCUS ... Easiest fluid collection ... effusion #s4c #POCUS ... echocardiogram #POCUS
Hyphema on Physical Exam

Hyphema is a collection of blood in the anterior chamber of the eye,
Hyphema is a collection ... the eye, usually caused
SGLT2 Inhibitors and Euglycemic DKA

Risk factors for euglycemic DKA in those on an SGLT2i include:
 •
following: • Correction ... dehydration • Correction ... therapy in severe cases