23 results
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... great toe pain-MTP ... No trauma. ... in 1st MTP joint ... #Clinical #POCUS
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... cardiothoracic surgery, trauma ... thoracotomy is a better treatment ... Plan definitive management ... #Management #Workup
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Recent history of trauma ... organ damage Clinical ... • TMA’s (HUS/TTP ... Schistocytes - MAHA: TTP ... DIC • Severe Liver
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... shunt (Type 2) Clinical ... contrast-enhanced TTE ... ) on room air Treatment ... #management #treatment
Pneumocystis jirovecii Pneumonia 
Clinical 
 • Caused by Pneumocystis jirovecii (formerly carinil) 
 • Immunocompromised host
jirovecii Pneumonia Clinical ... often elevated Treatment ... Trimethoprim-sulfamethoxazole (TMP-SMX ... PJP #Pneumonia #Diagnosis ... #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... Triglyceride level - Liver ... ERCP - Not routinely ... pain-dose ketamine infusion ... Pancreatitis #Checklist #Diagnosis
Chronic Lymphocytic Leukemia (CLL) - Summary
Overview: 
 • Most common leukemia in adults
 • Disorder of
minimal tumor burden Diagnosis ... immunophenotype Clinical ... Autoimmune cytopenias (ITP ... Autoimmune cytopenias (ITP ... #management
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
cycle found in the liver ... hepatocellular aerobic ATP ... anaerobic metabolism Diagnosis ... presentation - Clinical ... #Management
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
nodules, joint effusions ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... exam and imaging Treatment ... #management #rheumatology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... edema - Large effusion ... — Optimize the MAP ... (no B-lines on ultrasound ... Revascularization, treatment