67 results
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... Amazing video ... significantly, it causes ... for underlying cause ... Jugular #IJ #Vein #POCUS
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Preserved Ejection Fraction ... preserved ejection fraction ... cardiovascular causes ... hospitalization for the management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
class (30-day all cause ... mortality) • RV Function ... prognostication #diagnosis #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
consider passing suction ... Consider potential causes ... POTENTIAL CAUSES ... tracheal/bronchial suction ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider passing suction ... pressure as a cause ... intrathoracic pressure can cause ... o Endocrine cause ... Checklist #Diagnosis #Management
Echocardiography
Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool
Right ventricular function ... predictive of all‐cause ... Diagnosis #Cardiology #POCUS
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
- Tube feeds (Pause ... /suction, minimize ... (Sedation off, passes ... #criticalcare #management
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... with TSAT <20% (functional ... endpoint of all-cause ... heartfailure #diagnosis #management
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
is identified (video ... preserved systolic function ... Workup for cause ... "just another case ... EtOH causes thiamine
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
the extension function ... Finger deformity caused ... fracture • ED Management ... XRay #Diagnosis #Management