26 results
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... Driving pressure supports ... the work of breathing ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
disease - Renal ultrasound ... , Tests to evaluate ... Duplex Doppler ultrasound ... ) or IV saline infusion ... Causes #Screening #Workup
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Diagnosis and Management ... the preferred test ... accessible joint effusion ... typically part of the workup ... • Test all patients
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Liver function tests ... edema - Large effusion ... (no B-lines on ultrasound ... #Checklist #CHF
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Shock #Diagnosis #Management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... SBP: Medical Management ... prophylaxis - Best ... Upper Gl bleeding: Short-term ... #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... 10 minutes of rest ... SpO2 > 88% • Management ... syndrome #diagnosis #management ... #treatment #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
carcinomatosis, HF ... bilirubin 2) Routine tests ... 3) Optional tests ... Jcortesizaguirr #Ascites #workup ... Differential #Diagnosis #hepatology
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
allowing for lung rest ... oxygenator • Assess perfusion ... SVO2, lactate) REST ... placed on low "rest ... #ECMO #Basics #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 ... What is the best ... will not change management ... Transvaginal #Pelvic #Ultrasound