12 results
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
Candidates for Medical Treatment ... Pregnancy with Methotrexate ... to comply with post-treatment ... cardiac activity on ultrasound ... Ectopic #Pregnancy #Management
Tubal Ectopic Pregnancy on Transvaginal Pelvic Ultrasound

A 31yo female s/p tubal ligation presents with right lower
Transvaginal Pelvic Ultrasound ... hour prior at work ... Methotrexate is ... will not change management ... #POCUS #clinical
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
pancreas, biliary, renal ... with response to treatment ... cyclophosphamide, methotrexate ... Disease #diagnosis #management ... #phenotypes #workup
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
POCUS Stewardship ... indication for POCUS ... & Specificity Assess ... assign a final post-test ... #ultrasound #management
Methotrexate Renal Toxicity 
Prevention:
 • Alkalinize the urine, keep urine ph >7
 • Start pre-treatment 12
Methotrexate Renal ... prior to 48 hours post ... Treatment: • ... #Renal #Toxicity ... #management #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Establish IV/IO Access ... Setup - Ultrasound ... #criticalcare #treatment ... #workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
periodic paralysis, post-hypothermia ... • ↓ Renal K+ ... Excretion: - Renal ... reabsorption) Workup ... 15 suggests ↓ renal
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
thoracotomy is a better treatment ... pericardiocentesis, re-assess ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
Large abscess confirmed with POCUS, making I&D safer. Beside to scan beyond the border to make
with POCUS, making ... Post I&D, same area ... fail outpatient treatment ... ssti #clinical #ultrasound ... #pocus
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
however, this post ... will focus on the ... ECF and ICF both work ... #criticalcare #management ... #diagnosis #treatment