9 results
Pulmonary Hypertension Algorithm - Matthew Watto, MD
#Diagnosis #Management #Pulmonary #Hypertension #PAH #Workup #Evaluation #Algorithm #Differential #Curbsiders
Pulmonary Hypertension ... Algorithm - Matthew ... Watto, MD #Diagnosis ... #Management #Pulmonary ... #Hypertension #PAH
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... a.k.a BiLevel, BiPAP ... #Ventilation #diagnosis ... #management #indications ... #pulmonary #interfaces
BiPAP Initiation Algorithm
Screen for contraindications:
 • Obtundation (unarousable)
 • Inability to wear a mask (wounds)
 •
BiPAP Initiation ... Algorithm Screen ... unarousable) • Inability ... hemoptysis, Copious pulmonary ... #management
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
muscle use • Inability ... High pCO2 / low pH ... Prednisone • NIPPV: BiPAP ... #CriticalCare #pulmonary ... ventilation #mechanical #management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... scapholunate interosseous ligament ... space >3 mm on PA ... #Management #Orthopedics ... #Sports #MSK
Noninvasive Ventilation Summary
Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
breathing by improving pulmonary ... oxygenation BIPAP ... and patients' ability ... #Ventilation #management ... #pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... to be in ADHF starts ... with presence of pulmonary ... establishing a diagnosis ... #algorithm #management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... Hemodynamic instability ... First episode or PAF ... Fibrillation #AFib #diagnosis ... #management #cardiology
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
with hemodynamic instability ... features that help sort ... delay appropriate management ... angiography #Diagnosis ... #Management #Hematochezia