82 results
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... interruption for at least ... bleeding risk ... a very low bleeding ... Perioperative #Management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... pregnancy related cause ... thromboembolic disease, breast ... endometrial path0100' or breast ... #Management #Obstetrics
Lateral Canthotomy / Cantholysis - Procedure Instructions

The orbit is a relatively closed compartment and an acute
Cantholysis - Procedure ... The most common cause ... #Management #Lateral ... #Cantholysis #Procedure ... Retrobulbar #Hemorrhage #Ophthalmology
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 ... SatyaPatelMD #SIADH #Management
Treatment of breast cancer: a simplified view
surgical therapy - 5-7 weeks
 - lumpectomy +
 - radiation
Treatment of breast ... adjuvant (in select cases ... BrighamChiefs #breast ... cancer #treatment #management
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
Bleeding manifestations 
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
red, discrete areas ... of skin bleeding ... occur in dependent areas ... follow dependent areas ... ecchymosis) is caused
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Metastatic (breast ... Unilateral #Bilateral #Causes ... #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
• Tumor (Lung, Breast ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Invasive/Surgical Procedures ... surgery (e.g. breast ... • Non-cataract ophthalmologic ... polypectomy) #Bleeding