11 results
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Uterine Bleeding ... thromboembolic disease, breast ... cancer, liver dysfunction ... endometrial path0100' or breast ... #Management #Obstetrics
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Hepatic artery: Shock ... VZV • Trauma: Shock ... Infiltration: Often breast ... function may be abnormal ... RBC (hemolysis, bleeding
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
failure -> death Common ... wet (dependent areas ... AI, thyroid dz liver ... • Hemorrhagic: bleeding ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
failure -> death Common ... wet (dependent areas ... AI, thyroid dz liver ... • Hemorrhagic: bleeding ... Classification #diagnosis #management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
dysfunction (16%) • Shock ... DIC • Severe Liver ... Treatment: • Treat ... - APTT < 1.5 x normal ... causes #treatment #management
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
Common Variable ... disease • Liver ... - gastric and breast ... and M panel Management ... levels are within normal
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
sx overlap with normal ... Pts: cardiogenic shock ... Management during ... Postpartum Period • Breast-feeding ... are relatively common
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
droppings • Most common ... Mississippi and Ohio River ... level • A low or normal ... fever • Septic shock ... Fungal #Diagnosis #Management
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... hernia repair, colon ... surgery (e.g. breast ... • Non-cataract ophthalmologic ... e.g. pancreas, liver
"Road Rash" Thermal / Friction Injury
Common term for what is in fact a friction burn (not
Friction Injury Common ... CLINICAL: most common ... , head trauma, bleeding ... For smaller areas ... trauma #clinical #video