181 results
Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage: 
    SBP < 140 -
Hemorrhage: SBP ... Spontaneous ICH: SBP ... hours after TPA: SBP ... (SBP>70-90, MAP ... Age 50-69: SBP
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
Football Appearance of SBO on POCUS

Dr. Meghan Herbst @EUSmkh

#SBO #POCUS #ultrasound #clinical #small #bowel #obstruction
Appearance of SBO ... Herbst @EUSmkh #SBO ... #small #bowel #obstruction
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel Obstruction ... lumen Complete obstructions ... Incomplete obstructions ... ) #bowel #obstruction ... #sbo #ileus #pathophysiology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
for tPA: - Goal SBP ... <185 AND DBP <110 ... Hypertension: Goal SBP ... <220 AND DBP <120
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Guidelines as SBP ... weeks gestation, SBP ... weeks gestation: SBP ... 4 hrs apart or SBP ... Severe Features: SBP
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Small Bowel Obstruction ... Criteria for SBO ... #Small #Bowel #Obstruction ... #Jejunum #SBO #
Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis 
Inflammatory bowel disease (Crohn’s, UC) 
Surgery (adhesions)
and Large Bowel Obstruction ... #Large #Bowel #Obstruction ... #SBO #Differential
Blood Pressure Targets in Hypertensive Crisis

Timeline:
1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg
2-6
25%, Maintain DBP ... Titrate To Goal SBP ... 160 mmHg & DBP ... hours: Maintain SBP ... <160 mmHg & DBP