40 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
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
are broken in 2 areas ... #Flail #Chest #PhysicalExam ... respiratory #clinical #video
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
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
pupil that do not react ... to light but do react ... Robertson #Pupil #PhysicalExam ... #clinical #video ... #neurology #ophthalmology
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
that does not react ... Defect #clinical #video ... #neurology #ophthalmology ... #PhysicalExam #
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 ... Subcutaneous #Emphysema #PhysicalExam
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