14 results
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... thromboembolic disease, breast ... cancer, liver dysfunction ... endometrial path0100' or breast ... #Management #Obstetrics
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... if pregnant or breast ... feeding! ... workup choices AND management ... Hyperthyroid #Diagnosis #Algorithm
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Ascites PMN > ... prophylaxis - Best ... acceptable Upper Gl bleeding ... protein (< 1.5g/L) ascites ... dysfunction or liver
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Differential Diagnosis Algorithm ... Infiltration: Often breast ... RBC (hemolysis, bleeding ... differential #diagnosis #algorithm
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... has traveled to areas ... accumulation (ascites ... Severe bleeding: ... nervous system [CNS] bleeding
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Findings: • Bleeding ... or venipuncture sites ... DIC • Severe Liver ... Treatment: • Treat ... causes #treatment #management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... than 250/mm3: • Treat ... not) - ↓ rebleeding ... dL and advanced liver ... SBP #diagnosis #management
Common Malignancies That Cause Ascites
The most common malignancies causing ascites are ovarian cancer, pancreatic cancer, gastric
carcinomatosis or liver ... is peritoneal seeding ... or liver metastases ... Breast Cancer ... peritoneum or liver
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wet (dependent areas ... AI, thyroid dz liver ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wet (dependent areas ... AI, thyroid dz liver ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management