8 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... diet, d/c culprit medications ... 1) 2+ flares/year ... 2) Gouty tophi ... #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... sex • Metabolic syndrome ... forefoot, ankles, knees ... 2 attacks in a year ... #diagnosis #management
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... and Bloating - Treatment ... Disorders of Gut-Brain ... Irritable Bowel Syndrome ... Distension #Bloating #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Abdominal compartment syndrome ... Dehydration Shock Treatment ... #criticalcare #algorithm ... #treatment #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... echo in the last year ... Intraabdominal - Orthopedic ... the type of and indication ... medical and surgical management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... thiamine, and watch out ... for Refeeding Syndrome ... #differential #algorithm ... #management #treatment
Cyclic Vomiting Syndrome (CVS) - Management Algorithm
General Approach:
 - Identify and avoid triggers
 - Good sleep
Cyclic Vomiting Syndrome ... Algorithm General ... Cyclic #Vomiting #Syndrome ... #Management #Algorithm ... #Treatment
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
-->Cannot rule out ... Compartment syndrome ... consider compartment syndrome ... >> LINK TO ACL TEARS ... trauma/vascular/orthopedic