21 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
The triquetrum ... fractures • ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Thiazide‐like diuretics, MRA ... Loop #Thiazide #CHF ... #Cardiology #Management
BiPAP titration in CHF
 - Mean airway pressure provides goodness 
 - Ramp up the ePAP
BiPAP titration in CHF ... BiPAP #Titration #CHF ... CongestiveHeartFailure #Management ... #CriticalCare # ... Cardiology
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
CARDIOGENIC 16% • MI ... , CHF • Cold and ... Classification #diagnosis #differential ... #criticalcare
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
ARB, ARNI • MRA ... Heart #Failure #CHF ... HFrEF #Guideline #management ... #GDMT #cardiology
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Beta-Blocker → MRA ... Inhibitor → ARNI →MRA ... Heart #Failure #CHF ... HFrEF #Guideline #management ... #GDMT #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... circulatory support; and MI ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare ... algorithm #treatment #management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... injury • ED Management ... repair MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
A primer on the causes, evaluation and management of Acute Myocardial Infarction in Young Patients. 
Obstructive:
evaluation and management ... CAD MINOCA - MI ... #MI #MyocardialInfarction ... #Young #cardiology ... #MINOCA #differential