7283 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
• Hypovolemic (H2O ... Euvolemic (Low H2O ... Lack of access to H2O ... syndrome Matthew Ho
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
Enroll patient in a clinical ... oxygen, CRRT, HFO
PFO with thrombus on Echocardiogram (PSAX)

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#patent #foramenovale #PFO #thrombus #embolism #psax #Echocardiogram
PFO with thrombus ... #foramenovale #PFO ... Echocardiogram #clinical
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
PFO with shunting ... @DrShemisa #PFO ... Echocardiogram #a4c #clinical
Large Atrial Septal Defect and clearly not a PFO. I want to personally thank all the
clearly not a PFO ... jchristianfox #Clinical
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... or CPAP >=5 cm H2O ... with PEEP >=5 cm H2O ... with PEEP >= 5cm H2O
Selected Clinical Trials of SGLT2 inhibitors in CVD and CKD
EMPA-REG OUTCOME - Empagliflozin lowered CV events
Selected Clinical ... for SGLT2i in HF ... for SGLT2i in HF ... DAPA-HF - Dapagliflozin ... improved HF outcomes
Acanthocyte on Urine Microscopy

Not a spaceship, not a UFO, just an acanthocyte caught “flying” in dark
spaceship, not a UFO ... in patient with clinical ... Urine #Microscopy #clinical
Effect of PEEP on Lung Recruitment - Bag-Mask Ventilation - Cadaver Simulation
Simulation shows before and after
after adding 5cm H2O ... Cadaver #Simulation #clinical
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
high-tibial osteotomy (HTO ... Injury #ACLTear #clinical