53 results
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... there is no clear cause ... Management ● Early ... the underlying cause
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
difficult airway management ... 6 mL'kg PBW in ARDS ... 8 mL4(g in non-ARDS ... minimal to keep PaO2 ... ventilation #obese #Management
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS ... Syndrome #Diagnosis #Management
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms ... causes the previously ... PhysicalExam #clinical #video
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
near arm tremor caused ... abduction of the arms ... Disease #clinical #video
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
barns and lake houses ... Febrile illness + ARDS ... chills, myalgias, nausea ... Hantavirus #diagnosis #management
Asterixis is a type of negative myoclonus characterized by irregular lapses of posture of various body
characterized by irregular lapses ... encephalopathy) and CO2 ... clinical #diagnosis #video
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
near arm tremor caused ... abduction of the arms ... Disease #clinical #video
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... pulmonary disease ARDS ... diagnosis #treatment #management
APRV - Overview 

Airway pressure release ventilation (APRV) uses prolonged periods of high continuous positive airway
ventilation (APRV) uses ... therapy for severe ARDS ... #Ventilation #Management