2669 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... • Hypovolemic: Bleeding ... 2) Understand vasoactive ... Vasopressors #shock #Vasoactive
Vasoactive Agents - Receptor Profiles
Adrenergic Profile: α → β
phenylephrine, norepinephrine, dopamine, epinephrine, dobutamine, isoproterenol

- Dr. Rishi
Vasoactive Agents ... rishikumarmd #Vasoactive
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... PRE-ENDOSCOPY Vasoactive ... shunt (TIPS) • Vasoactive ... Esophageal #Variceal #Bleeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... hemostasis is acquired/vasoactive ... - Refractory Bleeding ... Variceal #Varices #Bleeding
Pathophysiology of Hepatorenal Syndrome - Dilation of splanchnic arteries initially compensated by increased CO eventually decompensates
RAAS, SNS, ADH) leading ... production of vasoactive
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Patients With Bleeding ... Predicting Risk of Rebleeding ... Diet I Active bleeding ... II Stigmata of bleeding ... Endoscopy #EGD #Risk #Rebleeding
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
first variceal bleeding ... Prevention of variceal rebleeding
Partial molar pregnancy found POCUS in the peds ED. Hypertensive, no vomiting, no bleeding.

 - Dr.
pregnancy found POCUS ... no vomiting, no bleeding ... Ultrasound #Clinical #POCUS
Blood Clot in the Bladder on POCUS

75yo F with dementia presents from skilled nursing facility with
the Bladder on POCUS ... with “vaginal bleeding ... PoCUS clarified ... and not “vaginal bleeding ... Clot #Bladder #POCUS