122 results
Massive Pericardial Effusion on Echocardiogram

I recently saw the largest pericardial effusion of my life. Something out
Massive Pericardial Effusion ... largest pericardial effusion ... Something out of a text ... Echocardiogram #POCUS ... #Clinical #S4C
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... Ratio Step 1: Clinical ... with a focused clinical ... probability based on clinical ... #ultrasound #management
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... Apical approach had best ... Pericardiocentesis #POCUS ... Echocardiogram #A4c #clinical ... #cardiology #effusion
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... edema), Lung Exam, POCUS ... #diagnosis #Management ... #treatment #criticalcare
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
Diagnosis and Management ... the preferred test ... accessible joint effusion ... typically part of the workup ... • Test all patients
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... Epidemiologic exposure + clinical ... agglutination - test ... microbiology #diagnosis #treatment ... #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... Liver function test ... pain-dose ketamine infusion ... #Pancreatitis #Checklist
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... Liver function tests ... edema - Large effusion ... Revascularization, treatment
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... failure, esp in work-up ... /management of shock ... Urine Pregnancy Test ... #ICU #Pearls #Checklist
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... shunt (Type 2) Clinical ... 10 minutes of rest ... ) on room air Treatment ... #treatment #hepatology