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6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Volume PRESSURES MAP ... DP-PCWP Coronary Perfusion ... 4.2 kg*m/m2 CI*MAP ... 62 g*m/m2 SI*MAP ... age-corrected PAO2
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP ... Gout Effusion ... gout in this case ... #clinical #pocus ... #ultrasound #msk
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Widening of the MTP ... Case description ... • Unstable 2nd MTP ... Radiology #diagnosis #msk
#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 ... )/HCO3 Acid base ... 100% mask A-a ... 400 (100% FiO) MIP ... the patient) MIP
POCUS appearance of Pleural thickening at right base. (patient was referred as possible pleural effusion, referral
POCUS appearance ... thickening at right base ... possible pleural effusion ... Pleural #Thickening #POCUS
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... on POCUS 50s male ... great toe pain-MTP ... MSU crystals=Gout ... #ultrasound #MSK
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... - Rapid saline infusion ... bloodgas #Acid #Base
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
MCP Synovitis on ... joint with effusion ... Synovitis #Metacarpal #MSK ... #Ultrasound #POCUS ... Clinical #Joint #Effusion
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
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS