147 results
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Physical Exam The case ... there is a drop in SaO2 ... to 90% (and in paO2 ... #PhysicalExam #clinical
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... Amy Chung, MD, MSc
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
ulnar side of the base ... motion • ED Management ... require operative management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
fracture of the base ... fracture of the base ... tenderness at the base ... motion • ED Management ... #Orthopedics #MSK
Basic algorithm for diagnosis and management of hoarseness

Image Source: Peng  KA , Kim I,
diagnosis and management ... Surgery: A case ... based clinical review ... www.amazon.com/Surgery-Case
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
Osmolar Gap ACID-BASE ... pCO2 = 1.5 (HCO3 ... )/HCO3 Acid base ... 100% mask A-a ... < 50 mmHg Pa02
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... shunt (Type 2) Clinical ... • Orthopnea - PaO2 ... Oxygenation defect - PaO2 ... SpO2 > 88% • Management
Jones Fracture
 - More distal than your base 5MT fractures (and will also look a bit
distal than your base ... tarsometatarsal for base ... #Orthopedics #Clinical ... #Diagnosis #Management
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
jirovecii Pneumonia Clinical ... • Steroids for Pa02 ... Pneumonia #Diagnosis #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... on CT or CXR ● PaO2 ... Management ● Early ... Conservative fluid-management ... ● Supportive management