45 results
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
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
Diagnosis and Management ... Individual factor activity ... , treat with relevant ... Serious: 100% factor activity ... Chronic Management
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
are broken in 2 areas ... respiratory #clinical #video ... #Pulmonary #paradoxical
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
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Diagnosis and Management ... from TB endemic areas ... signs/symptoms of active ... pulmonary TB PE ... for concomitant pulmonary
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
Tyrosine Kinase activity ... fever, joint pain, bleeding ... night sweats, bleeding ... • Significant bleeding ... Intracellular Urate
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Hypovolemic: Bleeding ... Pericardial tamponade, Pulmonary ... Nesiritide 3) Treat ... inopressors #diagnosis #management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Recent infection • Pulmonary ... bacteria killed - rest ... • HIV: 2/3 pulmonary ... involvement - seeding ... TB #Diagnosis #Management
Management of Jehovah's Witness patient in ICU 

Clarify which products may be used 
 - Discuss
Management of Jehovah's ... blood loss pro-actively ... synthesis pro-actively ... saturation > 20% Treat ... any bleeding aggressively
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