15 results
Diabetes Morning Hyperglycemia - Dawn Phenomenon vs Somogyi Effect 

When patients FBG's are elevated each morning
Hyperglycemia - Dawn ... experiencing the normal dawn ... diabetes) experience dawn ... me since they did ... /ambcarerx #Dawn
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... table when lying down ... directly in front of him ... affected ear #Dix ... Maneuver #BPPV #Instructions
Surgical Chest Tube for Unstable Pneumothorax or Hemothorax
PREPARE
 • Landmark: Anterior Axillary Line, 4th or 5th
freeze skin, then down ... & Enter: - 3cm ... Blunt dissect down ... checklist #procedure #instructions
Traumatic Cardiac Arrest: ED Thoracotomy Instructions
1. CALL FOR HELP.
2. GATHER SUPPLIES.
   +/- Sterile gloves,
ED Thoracotomy Instructions ... cut: Scalpel, 4cm ... up to sternum, down ... #Thoracotomy #Instructions
How to Float a PA (Swan-Ganz) Catheter
1) Place an introducer catheter, usually 15 to 20cm, into
With the balloon down ... a depth about 2cm ... Pulmonary #Artery #instructions
Thyroid Eye Signs 
Lid Signs
    Dalrymple’s Sign: Lid Retraction.
    Von
Resistance to pulling down ... Extra-Ocular Muscle ... dilatation of pupil in dim ... Increased intra-ocular
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
pulmonary disease, and ocular ... ulcers, cutaneous, ocular ... Syndrome: - Ocular ... CTD) • ANCA (Dx ... • HIV • HBV HCV
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
pain, dark urine, DIC ... May have drop in Hct ... inability to break down ... in 100,000,000, HCV
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
pain, dark urine, DIC ... May have drop in Hct ... inability to break down ... in 100,000,000, HCV
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
around his left eye six ... non-reactive pupil, and HM ... acetate to help with ocular