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diagnosis management blood clinical coagulation echocardiogram pocus product reactions acls anticoagulant anticoagulation apixaban cardiology cascade causes chemistry clot clots compressions
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
Thrombus in transit ... Pt had extensive ... later with normal LV ... Echocardiogram #A4C ... PulmonaryEmbolism #Thrombus
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 The coagulation cascade is shown, separated into different phases with their endogenous and pharmacological inhibitors shown.
FVa to generate thrombin ... Thrombin, then primes ... and endothelial cells ... #clot #PT #PTT ... diagnosis #models #hematology
Cardiac LV Thrombus on Echocardiogram (A4C) 48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... Echocardiogram (A4C ... blood cultures, cardiac ... #Cardiac #LV #Echocardiogram ... #A4C #clinical
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 Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
• Prolonged PT ... • Increased thrombin ... Fibrinogen: ↓ • PT ... Schistocytes, helmet cells ... treatment #management #hematology
Cardiac Standstill on POCUS during CPR A 79yo male presents after being found unresponsive by his wife.
Cardiac Standstill ... lytics in a younger pt ... septal bowing into LV ... dilate to size of LV ... Echoardiogram #ACLS #S4C
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 Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Coagulation factors: PT ... Skeletal muscle, cardiac ... Skeletal muscle, Cardiac ... intestines, White blood cells ... #differential #Hepatology
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
• Transfusion Cardiac ... potassium from lysed cells ... RBCs (stored at 4C ... diagnosis #management #hematology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
- Transfusion Cardiac ... potassium from lysed cells ... RBCs (stored at 4C ... diagnosis #management #hematology
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