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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

Effect of PEEP on Lung Recruitment - Bag-Mask Ventilation - Cadaver Simulation
Simulation shows before and after

after adding 5cm H2O ... Original video by ... Simulation #clinical #video

Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

high-tibial osteotomy (HTO ... ACLTear #clinical #video

PFO with thrombus on Echocardiogram (PSAX)

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#patent #foramenovale #PFO #thrombus #embolism #psax #Echocardiogram

PFO with thrombus ... #foramenovale #PFO

Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

high-tibial osteotomy (HTO ... ACLTear #clinical #video

Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-

of right-sided HF ... physicalexam #clinical #video

PFO with shunting on Contrast Echocardiogram (a4c)
74 yo presents with CVA. RoPE score of 4.

PFO with shunting ... @DrShemisa #PFO

Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS)
- Respiratory symptoms must have begun within one

or CPAP >=5 cm H2O ... with PEEP >=5 cm H2O ... with PEEP >= 5cm H2O

Large Atrial Septal Defect and clearly not a PFO. I want to personally thank all the

clearly not a PFO

Selected Clinical Trials of SGLT2 inhibitors in CVD and CKD
EMPA-REG OUTCOME - Empagliflozin lowered CV events

for SGLT2i in HF ... for SGLT2i in HF ... DAPA-HF - Dapagliflozin ... improved HF outcomes ... Empagliflozin improved HF

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