18 results
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Diagnosis? ... fluid must raise concern ... Echocardiogram #S4C ... #Pericardial #Effusion
RV wall perforation from pacer wire on POCUS

Patient with severe chest pain since last night. SC
SC window shown. ... no pericardial effusion ... Diagnosis: RV wall ... echocardiogram #clinical #s4c ... #effusion #pericardial
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
hemopathies, solid cancers ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment ... #rheumatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Arterial blood gas (ABC ... scanning or pulmonary ... ) on room air Treatment ... #management #treatment ... #hepatology
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... U/S expediting diagnosis ... treatment and transfer ... ultrasound_vcu #Pulmonary ... Echocardiogram #s4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
pressure < 15mmHg TREATMENT ... guanylate cyclase (sGC ... directly stimualtes sGC ... who respond to medical ... #management #hepatology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... BNP, troponin if concern ... LVEF, pericardial effusion ... #differential #diagnosis ... #management #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... HoTN, edema and effusions ... Imaging: CXR- pulmonary ... Renal Failure Treatment ... #management #hematology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... and Management ... diuretics, Saline infusion ... Terbutaline 7 µg/kg SC ... #Management #Treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
syndrome): - Hematologic ... decompression SVC ... renal failure, pulmonary ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis