9 results
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Burns • Trauma ... /Crush injury ... Rhabdomyolysis, burns, trauma ... causes #potassium #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Burns • Trauma ... /Crush injury ... Rhabdomyolysis, burns, trauma ... causes #potassium #high
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adrenal hematoma ... Answer: Right adrenal ... intra-abdominal injury ... FAST #Positive #trauma ... #clinical #ultrasound
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
• Present in high ... injuries Hepatic Injury ... Hepatocellular Injury ... Cardiac: • Myocyte injury ... Demand ischemia • Trauma
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
Succinylcholine; thermal trauma ... neuromuscular injury ... oliguric kidney injury ... Primary adrenal ... Differential #Diagnosis #High
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Posterior Knee Dislocation ... , POSTERIOR KNEE ... syndrome risk high ... Consider trauma/ ... the_resuscitationist #Knee
Myositis Ossificans in vastus intermedius on POCUS after trauma - Sagittal View

Young male with MMA injury
on POCUS after trauma ... male with MMA injury ... to ant/med rt thigh ... Myositis #Ossificans #thigh ... msk #clinical #ultrasound
Myositis Ossificans in vastus intermedius on POCUS after trauma - Transverse View

Young male with MMA injury
on POCUS after trauma ... male with MMA injury ... to ant/med rt thigh ... Myositis #Ossificans #thigh ... msk #clinical #ultrasound
Renal Artery to IVC Arteriovenous Fistula on Angiography

44 yr male, DOE, bounding pulse, BP 150/68, mid
Renal Artery to ... laparotomy for stab injury ... High output HF due ... to IVC renal artery ... Ultrasound showed