Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #High #Chest #Cardiogenic
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... #Algorithm #Hepatology
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Bandemia Overview Normal ... with moderate and high ... • Abnormal temperature ... bacteremia • Abnormal ... count on initial evaluation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
proximal LAD or high ... T wave in V1 - normal ... unless LBBB/LVH/high ... #Equivalents #Interpretation
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... ASA class If high ... event, follow ACC algorithm ... of Surgery: • High ... perioperative #Risk #Evaluation