15 results
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... adenopathy and pleural effusion ... low attenuation areas ... #Clinical #Radiology ... #HRCT #CTChest
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... : lung cancer, breast ... OTHER RARE CAUSES ... the hemorrhagic fluid ... Differential #Diagnosis #cardiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
symmetry, rate, breath ... rate, rhythm, perfusion ... • Consider fluid ... hypovolaemia: give i.v fluid ... Checklist #Diagnosis #Management
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
skin (esp. over areas ... Pericarditis) -> Chest ... nociceptors & induces fluid ... pain, pleural effusion ... inflammation tends to cause
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
cardiac output causes ... PULMONARY A vs B-LINE PATTERN ... predominant lung US pattern ... patients, each breath ... comparison #challenges #management
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... Check levels after infusion ... volume • Offer Fluid ... SIADH — look for cause ... #algorithm #treatment
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... There has to be at least ... ml of pleural fluid ... seen on a supine chest ... #Clinical #Radiology
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
hypercarbia as causes ... : • Check chest ... symmetry, rate, breath ... tourniquet • Excess fluid ... Checklist #Diagnosis #Management
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... labs, aggressive fluids ... underlying cause ... , shortness of breath ... , SOB, pleural effusions
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
needing a little fluid ... achieved negative fluid ... the determined cause ... #differential #algorithm ... #management #cardiology