84 results
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... antiglobulin test, PT ... /aPTT MAHA likely ... hemosiderin • PT ... /aPTT normal •
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Prolonged PT ... /PTT • Low plasma ... Fibrinogen: ↓ • PT ... /INR: ↑ • PTT: ... INR < 2.3 - APTT
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
EKG • Bedside ultrasound ... , LET, lipase, PT ... . aPTT • Serial
Von Willebrand Disease - Most common inherited bleeding disorder 
Clinical 
 • Easy bruising 
 •
bleeding disorder Clinical ... 2B) • Normal PT ... INR • Normal aPTT
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
Diagnosis and Management ... established disease) • aPTT ... mixing study (aPTT ... mild cases) • PT ... Chronic Management
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
your next step in management ... echo (assuming pt ... full code, this pt ... Echocardiogram #clinical ... #ultrasound #DSign
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... CBC, fibrinogen, PT ... /PTT • Treat with ... compression (using ultrasound ... Differential #Diagnosis #Management
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... Pt pain free X 36 ... Trauma #Video #Clinical
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Pregnancy on Pelvic Ultrasound ... Answer: Pt has IUD ... Pregnancy #Pelvis #Ultrasound ... #clinical #OBGyn
Management of Jehovah's Witness patient in ICU 

Clarify which products may be used 
 - Discuss
Management of Jehovah's ... document (e.g. some pts ... limit to mission-critical ... platelets, INR, PTT ... #CriticalCare #Management