26 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... • Hypovolemic: Bleeding ... Nesiritide 3) Treat ... inopressors #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... thromboembolic disease, breast ... endometrial path0100' or breast ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if pregnant or breast ... feeding! ... workup choices AND management
The diagonal crease in the lobe of the ear (Frank's sign) is a sign theoretically related
The diagonal crease ... : 17891926 #PhysicalExam ... Earlobe #Clinical #Photo
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Presentation in septic shock ... SBP: Medical Management ... prophylaxis - Best ... acceptable Upper Gl bleeding
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Findings: • Bleeding ... Findings: • Bleeding ... dysfunction (16%) • Shock ... Treatment: • Treat ... causes #treatment #management
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
has traveled to areas ... Shock or respiratory ... Shock evidenced ... Severe bleeding: ... nervous system [CNS] bleeding
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
sudden-onset shortness of breath ... the right side, leading ... travels from these areas ... in subcutaneous areas ... Subcutaneous #Emphysema #PhysicalExam