6 results
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Testing - OnePager ... Point of Care Ultrasound ... precede other signs ... of fluid can predict ... comparison #challenges #management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Abdominal or flank ... be present or signs ... Pathophysiology: • Bacteria ... Coli, but can also ... ultrasound as initial
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
inoculating ascitic fluid ... Treat if other signs ... (fever, abdominal ... IV CTX - Can ... SBP #diagnosis #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Pneumonia Signs ... requiring aggressive fluid ... or CT Scan Bacterial ... (LR + 2.8) Testing
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... pain • HTN • ... Cerebrospinal fluid ... gut involvement, abdominal ... aneurysms can also
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... fingers Synovial Fluid ... Testing: • WBCs ... not possible • Ultrasound ... double contour sign