19 results
Complicated Parapneumonic Effusion (CPPE) on Pleuroscopy

We know that pH can vary in different locules in CPPE.
Parapneumonic Effusion (CPPE ... ) on Pleuroscopy ... different locules in CPPE ... important to Rx as CPPE ... Pleural #Effusion #CPPE
Underlying causes of PEA arrest: H’s and T’s 

Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia
Toxins, Tamponade,
Underlying causes ... lungs: massive PE ... Differential #Diagnosis #Table
COVID-19 patient Extubation
Objective: Extubation of a suspected COVID-19 patient whilst minimising aersolisation of virus particles. Orly
PPE required ... extubate on theatre table ... Perform final pre-extubation
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
then wait 3min, pre-ox ... but also reduces CPP ... = dilated BV = raises ... expansion of bleed • CPP ... Target CPP 60.
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Alveolar filling, PE ... Bag, BS, CXR, CTPE ... Treat underlying cause
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
correctly diagnose a case ... that any given case ... implies being able ... #Calculation #Table ... #PPV #NPV #Formulas
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
bradycardia • Sinus pauses ... • Massive PE ... Classification #Table ... #Causes
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... nephrocalcinosis • CPPD ... → Low ALP -> PPi ... accumulate → PPi ... Phosphatase: • Other causes
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
* Variant of pre-eclampsia ... child * Severe cases ... hematology #diagnosis #table
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
* Variant of pre-eclampsia ... child * Severe cases ... Diagnosis #Comparison #Table