32 results
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Uterine Bleeding ... pregnancy related cause ... thromboembolic disease, breast ... endometrial path0100' or breast ... #Management #Obstetrics
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... cause: • Causes ... volume overload Urea ... into ammonium by urease-producing ... the colon 0.9% Normal
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... if pregnant or breast ... feeding! ... workup choices AND management
Bleeding manifestations 
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
red, discrete areas ... occur in dependent areas ... follow dependent areas ... ecchymosis) is caused ... , PT should be normal
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
Treat other deficiencies ... Treat concomitant ... ketoacidosis (DKA) - caused ... Glucosuria causes ... differential #diagnosis #management
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
Diagnosis and Management ... study (aPTT may be normal ... in mild cases) ... , treat with relevant ... Chronic Management
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Treatment: • Treat ... primary cause ... - APTT < 1.5 x normal ... Coagulation #diagnosis #causes ... #treatment #management
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
sudden-onset shortness of breath ... neck (shown in video ... and spaces can cause ... travels from these areas ... in subcutaneous areas
Diabetic Retinopathy: Pathogenesis and clinical findings

Mild Non-proliferative DR
 • Outpouchings of the weakened capillary walls or
Hemorrhages • Focal areas ... ischemia -> Venous beading ... retinal ischemia causes ... Retinopathy #Diabetes #ophthalmology
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
a sequence of abnormal ... Video by Kathleen ... Seesaw #nystagmus #ophthalmology ... #clinical #video ... #eye #ocular #PhysicalExam