20 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Epigastric/chest pain ... Pseudomembranous esophagitis, Infection ... Surgery consults +/- antibiotics ... Necrosis #black #esophagus
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... polymicrobial infection ... • Most common cause ... Pleuritic chest pain ... anemia • Sputum/Blood
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Evaluation of Acute ... 38.50C, abdominal pain ... , bloody diarrhea ... HIV infection or ... #Diarrhea #management
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Cardiac Output, Blood ... Uses, Peripheral ... #Pharmacology # ... Effect #Management
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... use, infections ... resolve rapidly when blood ... the most common long ... Necrosis #diagnosis #management
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
globules in the lung ... days after an acute ... progressive inflammatory infection ... - Intense pain ... - Antibiotic
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... headache and abd pain ... The table below ... smear, acute and ... Infectious Diseases
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Microbiology: Blood ... Culture (+): Acute ... • IV Antibiotics ... Endocarditis #diagnosis #management
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... granulomas within the lungs ... Self-limiting, chronic but stable ... , cough, chest pain ... Sarcoidosis #Diagnosis #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... pressure: systolic blood ... HFrEF may lack lung ... (Sens. 81% for acute ... heartfailure #diagnosis #management