11 results
Identical Twins on MRI 
Monozygotic, develop from one zygote, which splits and forms two embryos 

#Twins
obstetrics #obgyn #womb
Blast Injury Categories
 - Primary - Direct effect from blast shockwave 
 - Secondary - Impact
Diagnosis #Blast #Bomb
Causes of Post-Partum Fever - Differential Diagnosis Algorithm
6 W's for causes of PPF
 - Wind: pneumonia,
: mastitis - Womb
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
drive) ↑ their WOB ... maintain the same WOB
Heartbeat in Ectopic Pregnancy on Pelvic Ultrasound
Identify the ticking bomb in this stable 38 yo F
Identify the ticking bomb
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
intubation due to incr WOB
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
for increased WOB
HFNC compared to NIV
HFNC:
- Comfort - Higher comfort  Eating, drinking and speaking less impaired 
-
EELV, Reduced WOB
Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
 - Reassess
anxiety - Reassess WOB
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
lifting arms to comb