49 results
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Microangiopathy (TMA ... Algorithm Suspected TMA ... hemosiderin • PT/aPTT normal ... Microangiopathy #TMA
Ischemic Stroke - Blood Pressure Management
 • No tPA  < 220 / 120 (permissive hypertension)
Management • No tPA ... hypertension) • tPA ... Nitroglycerine - avoid oral
Free fluid + empty uterus + positive pregnancy test = better start looking for a mass!
If
blood, consider TXA ... Pregnancy #Ultrasound #POCUS
Acute Pulmonary Embolism on POCUS Echocardiogram before and after TPA
POCUS Echocardiogram in suspected hypoxic COVID patient
before and after TPA ... TPA pushed at bedside ... based on POCUS ... right) 24h post TPA ... Echocardiogram #TPA
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Oral Antihypertensive ... , HFrEF, AFib, TAA ... Cognitive Impairment, Portal ... MatthewHoMD #Oral
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... quick summary: • Dorsal ... sit in lunate "tea ... and swelling to dorsal ... Orthopedics #Sports #MSK
Normal Thromboelastogram - Specific parameters represent the 3 phases of the cell-based model of haemostasis: initiation,
Normal Thromboelastogram ... thrombin burst -TMA ... amplitude(s) -MA ... 30 minutes post-MA ... Thromboelastogram #TEG #Normal
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Visceral, DIC, TMA ... • Muscular: normal ... CK, normal biopsy
U/S - Is the shoulder IN or OUT?

Top Clip: IN (No Dislocation)
Bottom Clip: OUT (Anterior Dislocation!)
-
EM_RESUS #Clinical #POCUS ... #MSK #Shoulder ... Anterior #Comparison #Normal
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
vertebrobasilar, TIA ... Amy Chung, MD, MSc