32 results
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
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
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
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
the right side, leading ... neck (shown in video ... travels from these areas ... in subcutaneous areas ... PhysicalExam #Clinical #Video
Posterior staphyloma on Fundoscopy Ocular Examination

Patient presents bilateral posterior staphylomas and areas of scarring and fibrosis
on Fundoscopy Ocular ... staphylomas and areas ... Scarring #Retina #Ocular ... PhysicalExam #clinical #video ... #ophthalmology
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