35 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
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... failure from massive pulmonary ... embolism or severe pulmonary ... gastrointestinal bleeding ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Cold and Dry) • Pulmonary ... gastrointestinal bleeding ... water #Shock #Classification ... Types #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... EmmGeezee #Shock #Classification ... #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... EmmGeezee #Shock #Classification ... #diagnosis #management
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
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
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... failure • Severe pulmonary ... diagnosis #treatment #management