43 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if pregnant or breast ... feeding! ... affects diagnostic workup ... choices AND management ... Diagnosis #Algorithm #Workup
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... pregnancy related cause ... thromboembolic disease, breast ... endometrial path0100' or breast ... #Management #Obstetrics
Chronic Hypertensive Retinopathy: Pathogenesis and clinical findings

Ophthalmic Artery Hypertension
Stage 1: Mild/vasoconstrictive
 • Acute and chronic vasospasm
Pathogenesis and clinical ... hyalinization causes ... white or yellow areas ... around atrophic areas ... pathophysiology #ophthalmology
Diabetic Retinopathy: Pathogenesis and clinical findings

Mild Non-proliferative DR
 • Outpouchings of the weakened capillary walls or
Pathogenesis and clinical ... Hemorrhages • Focal areas ... ischemia -> Venous beading ... retinal ischemia causes ... Retinopathy #Diabetes #ophthalmology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
organ damage Clinical ... Treatment: • Treat ... primary cause ... Coagulation #diagnosis #causes ... #treatment #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... inflammatory lung injury, leading ... there is no clear cause ... enteral nutrition ● Treat ... the underlying cause
Muscosal Bleeding: This patient developed multiple areas of spontaneous mucosal bleeding 
in and around his mouth
Muscosal Bleeding ... developed multiple areas ... UCSD Catalog of Clinical ... Images #Clinical ... #Photo #Oral #Mucosal
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Control any obvious bleeding ... equipment. ❽ Discuss management ... (Box C). ⓫ If bleeding ... an appropriate clinical ... #Workup
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... non-productive cough, nausea ... Epidemiologic exposure + clinical ... diagnosis #treatment #management
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
the right side, leading ... and spaces can cause ... travels from these areas ... in subcutaneous areas ... #PhysicalExam #Clinical