POCUS Echo of Acute Massive Saddle Pulmonary Embolism Here's a great teaching Echo of a patient I once took care of with Acute Massive Saddle PE. Since it demonstrates all the findings of Right Heart Strain I made it into this educational GIF - Sam Ghali, M.D. @EM_RESUS #Pulmonary #Embolism #AcutePE #Saddle #Echocardiogram #POCUS #Clinical #RightHeartStrain #McConnells #DSign

POCUS Findings in Acute Pulmonary Embolism - McConnell's Sign - TAPSE - D-Shaped Septum - Abnormal RV:LV Ratio #Pulmonary #Embolism #AcutePE #Accuracy #POCUS #Signs #McConnells #Signs #DSign #Diagnosis

Acute Pulmonary Embolism - Labeled POCUS Findings This patient presented with a-fib and shortness of breath. This POCUS illustrates some of the classic findings of sub-massive or massive pulmonary embolus. Dilated RV, McConnell's, and even clot-in-transit are seen here, color optimized for easier comprehension. Eric Abrams, MD @eabramsMD #McConnells #Sign #Clinical #POCUS #Echocardiogram #A4C #Strain #AcutePE #Pulmonary #Embolism

Papillary muscle rupture on POCUS Echocardiogram - A4C - Labeled I colorized this POCUS to make it easier to appreciate the pathology. This patient had sudden onset SOB after an inferior MI 8 days prior. This is a ruptured antero-lateral papillary muscle causing catastrophic mitral valve failure. Original Unlabeled: https://www.grepmed.com/images/6869 Eric Abrams, MD @eabramsMD #anterolateral #Papillary #muscle #rupture #POCUS #Echocardiogram #A4C #clinical #cardiology #Labeled

Papillary muscle rupture on POCUS Echocardiogram - A4C Rare case! 70M recent MI with acute resp failure and pulmonary edema. Papillary muscle rupture on POCUS Labeled Video: https://www.grepmed.com/images/6917 Eric Abrams, MD @eabramsMD #anterolateral #Papillary #muscle #rupture #POCUS #Echocardiogram #A4C #clinical #cardiology

Mitral Regurgitation on POCUS Echocardiogram - Apical 4 Chamber Before blousing fluids, check for LV systolic function and mitral regurgitation on an A4 view to avoid pulmonary edema. Eric Abrams, MD @eabramsMD #Mitral #Regurgitation #POCUS #Echocardiogram #A4c #cardiology #clinical #MR #Color #Doppler

Differences between direct, indirect, and femoral hernia #Differential; #Surgery; #Hernia; #InguinalHernia Image Source:De Virgilio, C., Grigorian, A., & Frank, P. N. (2015). Surgery: A case based clinical review. New York: Springer.

Cerebrospinal Fluid (CSF) - Pathway of Flow 1) CSF is produced and secreted by the choroid plexus of each lateral ventricle 2) CSF flows through interventricular foramina into the third ventricle 3) Choroid plexus of the third ventricle adds more CSF 4) CSF flows down cerebral aqueduct into the fourth ventricle 5) Choroid plexus of the fourth ventricle adds more CSF 6) CSF flows out the two lateral apertures and one median aperture 7) CSF fills the subarachnoid space and bathes the external brain & spinal cord 8) At the arachnoid villi, CSF is reabsorbed into the venous blood of the dural venous sinuses By @rev.med #Cerebrospinal #Fluid #CSF #Pathway #Flow #Ventricles #neurology

Perioperative IBD Pharmacotherapy Management Immunomodulators: • Stop MTX one week prior to elective surgery • Stop AZA/6MP the day of surgery and resume post op day 1 Biologics: • Do not delay urgent/emergent surgery • Time elective surgery with drug trough • Resume in CD patients at high risk of recurrence 2-4 weeks after surgery • Discontinue in UC patients undergoing colectomy Steroids: • Reduce dose as much as possible prior to surgery • Rapid taper (goal dose mg per day of prednisone) & intraoperative stress dose Gastroenterology Review @GIreview #Perioperative #IBD #Pharmacotherapy #medication #Management #preoperative #gastroenterology

ZSFG Inpatient Management of Opioid Use Disorder: Buprenorphine #Management #Addiction #Buprenorphine #Inpatient #Opioid #Withdrawal #COWS #Algorithm