6 results
Hydropneumothorax on Lung POCUS

HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
POCUS HIV/AID ... consistent with PNA ... within fluid-air bubbles ... hydropneumothorax #effusion #bubbles ... #POCUS #clinical
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Neurological event 2) Sodium ... loss from tubules ... Hypovolaemia → ADH ... reabsorption 5) ↓ Na
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
the total body sodium ... in the renal tubules ... concentration (UNa ... intravascular volume; UNa ... SIADH #Thiazides #UNAa
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
pain, primary lung ... • With lower Na ... promoting passive sodium ... osmolality < 538 AND UNa ... antagonists: • Blocks ADH
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Pain, Primary lung ... using this as a long-term ... promoting passive sodium ... osmolality < 538 AND UNa ... vaptans) • Blocks ADH
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Alveolar Hemorrhage (DAH ... (JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... • Aspiration/PNA