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clinical ultrasound diagnosis echocardiogram tear management muscle ruptured ac achilles acidosis acromioclavicular cardiology classification clostridial clostridium comparison criticalcare deltoid effusion
POCUS Stewardship Right Indication - Right Interpretation -Right Integration Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... clinical question based ... Step 2: Pre-test ... Develop a pre-test ... probability based
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
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
the screening test ... correctly diagnose a case ... that any given case ... the screening test ... it has a narrow focus
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 #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
FAST - Cardiac Tamponade - Torn atrial appendage. WCUME 2017 Submission for Best POCUS - Massive hemopericardium
Submission for Best ... POCUS - Massive ... straight to the OR based ... #Peds #Trauma #POCUS
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 Oxygen Delivery Systems Nasal Cannula: • Flow: 1 - 6 L/min • FiO2: 25 - 40% (-4%/L
of flow) Face Mask ... Device: Face Tent ... ~40% Venturi Mask ... 2 - 15 L/min (based
Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture
require imaging based ... Painful balottement test ... fracture #radiology #msk
Ruptured Ovarian Cyst on Pelvic Ultrasound 22 year old female w/ acute onset RLQ pain & TTP
Urine pregnancy test ... though (just in case ... gynecology #obgyn #POCUS
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 Scapholunate Ligament Rupture on POCUS MSK Ultrasound of the scapholunate ligament. Dynamic exam of Scapholunate ligament rupture.
Ligament Rupture on POCUS ... MSK Ultrasound ... rupture. - squeeze test ... replace the clinical tests ... #pocus
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 Full thickness Supraspinatus Tear on POCUS Utilise resisted tests to further assess tendon integrity when using MSK
Supraspinatus Tear on POCUS ... Utilise resisted tests ... ultrasound...a case ... Ultrasound Site - MSK ... #pocus
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