11 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... non-productive cough, nausea ... failure • Severe pulmonary ... agglutination - test ... diagnosis #treatment #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... lung disease Caused ... 10 minutes of rest ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
anti-GBM) Other tests ... LVEF, pericardial effusion ... Goodpasture's cause ... hematuria, RBC casts ... differential #diagnosis #management
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... FiO2 35-50% Face Tent ... uses a small valve ... Delivery #Devices #management ... #pulmonary #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... on improving perfusion ... or diagnostic tests ... Reduced tissue perfusion ... output - Acute pulmonary
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
autonomic dysfunction located ... negative, MOG-IgG test ... • Infectious causes ... Herpes zoster, West ... Myelitis #diagnosis #management
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... during CPR on POCUS ... What the best choice ... for management? ... Case credit @BrianKohen
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... determine if stress test ... Intraabdominal - Orthopedic ... days before Pulmonary ... medical and surgical management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... thickening or effusion ... , INC risk PE, Pulmonary ... phenomenon (16%) MSK ... Rheumatology #Diagnosis #Management
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
immobilization, rest ... Inferior to operative management ... majority of these cases ... clinical #video #msk ... #orthopedics