49 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
with IVC Thrombus ... In Transit A ... most support her diagnosis ... #IVC #Thrombus ... #InTransit #clinical
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... Thrombus in transit ... #Clinical #POCUS ... McConnells #Sign #PulmonaryEmbolism ... #InTransit
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
What's your management ... @eabramsMD #Clinical ... McConnells #Sign #Pulmonary ... #Embolism #Thrombus ... #Clots #InTransit
Common Biliary Diseases seen in the Emergency Room - Comparison Table:

Clinical Features, Labs, Imaging and Treatment

#Diagnosis
Common Biliary Diseases ... : Clinical Features ... and Treatment #Diagnosis ... #Management #BiliaryDiseases ... #Table #Approach
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... Differential Diaqnoses ... hepatitis • Pulmonary ... #diagnosis #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... Vessels Thrombi ... Vessels Thrombi ... have inoperable disease ... #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #microbiology #diagnosis ... #treatment #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Failure, Valvular Disease ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... the absence of intrinsic ... shunt (Type 2) Clinical ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary