36 results
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... veins to become distended ... Thyroid #Goiter #PhysicalExam ... vascular #neck #mass #SVC
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
found to have distended ... What is the cause ... stenosis of his SVC ... #syndrome #Stenosis ... #Video #Chest #PhysicalExam
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
for Suspected SVC ... Syndrome SVC ... syndrome suspected ... arm/neck edema, distended ... #diagnosis #management
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
determine the cause ... • SVC Obstruction ... & upper thorax distend ... abdominal veins also distend ... #Blood #Flow #physicalexam
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
- Casey Parker ... @broomedocs #Management ... #CriticalCare # ... Venous #Catheters #CVC
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... PAH • ↓ CO, ↑ SVR ... findings based on cause ... anaphylaxis, release syndrome ... table #comparison #criticalcare
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... the underlying cause ... Hypoxemia #Dyspnea #Management ... #criticalcare #
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Examine for a cause ... #Hypotension #Management ... #criticalcare #
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Shock - Distended ... veins, dilated IVC ... Shock #Diagnosis #Management ... #Summary #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High CO / Low SVR ... Low CO / High SVR ... Abdominal compartment syndrome ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management