CONTENTS Basics Epidemiology Symptoms Radiology Radiology of FB (follicular bronchiolitis) Radiology of LIP (lymphoid interstitial pneumonia) Additional testing Diagnostic process Management Prognosis Questions & discussion abbreviations used in the pulmonary section: 2 ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AFB: Acid Fast Bacilli AIP: Acute interstitial […]
Search Results for: ultrasound
NeuroEMCrit – Everything you wanted to know about Hyperosmolar agents for the Management of ICP and Cerebral Edema
Everything you wanted to know about Hyperosmolar agents for the Management of ICP and Cerebral Edema
Spontaneous Bacterial Peritonitis (SBP)
CONTENTS Presenting clinical features Paracentesis Differentiating spontaneous versus secondary bacterial peritonitis Diagnosis of SBP Treatment Spontaneous bacterial empyema (SBE) Podcast Questions & discussion Pitfalls presenting signs & symptoms SBP is often subtle (for example, 13% of patients are asymptomatic).(19266595) Fever or hypothermia. Nausea/vomiting, ileus, and/or diarrhea. Abdominal pain occurs in about half of patients. However, […]
The Case of Dubious Squire
I often get the sense that the makers of many biomarkers envision us as helpless damsels in distress drowning in an icy pond or trapped in a monumental tower with no obvious means of descent. I imagine they think in our desperate grasps for aid, we will cling to whatever assistance they may offer, independent […]
PulmCrit – Optimizing the respiratory drive to avoid failure
Scott Weingart just posted a podcast about management of the hypercapneic, obtunded COPD patient who is failing BiPAP. Do we need to intubate these patients, or could we somehow clear their CO2 noninvasively? This post will start off by exploring respiratory drive as a mediator of disease. With that groundwork, we’ll explore the obtunded COPD patient.
Diffuse alveolar damage (DAD) & Acute Interstitial Pneumonia (AIP)
CONTENTS Basics Causes of ARDS ARDS due to DAD ARDS without DAD Clinical presentation Radiology Bronchoscopy Investigation Diagnosis Management Questions & discussion abbreviations used in the pulmonary section: ABPA: Allergic bronchopulmonary aspergillosis 📖 AE-ILD: Acute exacerbation of ILD 📖 AEP: Acute eosinophilic pneumonia 📖 AIP: Acute interstitial pneumonia (Hamman-Rich syndrome) 📖 ANA: Antinuclear antibody 📖 […]
EMCrit Shadowboxing Case 3 – Chicken or Egg – Which Organ Failed First?
Shadow Boxing Respiratory Failure Case
Parasitic infections of CNS & Creutzfeldt-Jakob disease
CONTENTS Neurocysticercosis Toxoplasmosis Creutzfeldt-Jakob disease (CJD) Podcast Questions & discussion Pitfalls basics Neurocysticercosis results from neurological invasion by the pork tapeworm (Taenia solium). Cysticercosis refers to any disease due to Taenia solium. Neurocysticercosis is a subset of patients with cysticercosis, in whom parasites invade the central nervous system. Cysticerci (the larval form of the parasite) […]
Community acquired urosepsis
CONTENTS Rapid Reference 🚀 Diagnosis Urinalysis Imaging Management: Resuscitation Decompression & source control Antibiotics General principles Preferred antibiotics for initial broad-spectrum coverage If gram stain is known Podcast Questions & discussion Pitfalls diagnostic tests Urinalysis & urine culture. Blood culture x2. Procalcitonin. Imaging, either: CT scan (especially if >35 YO). Renal ultrasonography (especially if <35 […]
Brain Abscess
CONTENTS Brain abscess Pathophysiology Epidemiology Clinical manifestations Evaluation Neuroimaging Antibiotics Drainage & serial monitoring Adjunctive therapies Related intracranial infections Subdural empyema Epidural empyema Podcast Questions & discussion Pitfalls evolution of an abscess An abscess begins as a localized area of cerebritis. Over about two weeks, this subsequently evolves into an abscess (a purulent collection surrounded […]
EMCrit 334 – CV-EMCrit – Concise HeartMate 3 LVAD Overview
A review on dealing with HeartMate 3 (most common LVAD you will see) Emergencies
PulmCrit: Myth-busting the fluid bolus
For centuries, medical experts practiced bloodletting for a variety of ailments. This was widely believed to rid the body of evil humors. When patients didn’t respond well, this was believed to reflect an inadequate or delayed bloodletting. Practitioners competed to see who could partake in the most rapid and aggressive bloodletting.
Acute Liver Failure (ALF)
CONTENTS Rapid reference 🚀 Definition & classification Diagnosis Causes of acute liver failure Laboratory & imaging evaluation Treatment Liver transplantation Treatment of inciting cause & N-acetyl cysteine Cardiovascular Pulmonary Gastrointestinal Renal Infectious diseases Hematology Endocrine Neurology Podcast Questions & discussion Pitfalls diagnostics Order initial test panels as listed below. 📖 Serial labs (including: ammonia levels, […]
Pulmonary & cardiac complications of pregnancy
CONTENTS GENERAL APPROACH History & symptoms Dyspnea Chest pain Cough Hemoptysis ➡️ Palpitations Peripheral edema Physical examination Laboratory tests Common laboratory tests ABG interpretation Radiology Pharmacologic issues in pregnancy Antibiotic ➡️ Anticoagulation & antiplatelets Cardiac medications Steroid Uterotonic medications SPECIFIC DISEASE STATES Airway Asthma Cardiac Acute coronary syndrome (ACS) Aortic dissection Arrhythmias SVT (supraventricular tachycardia) […]
Asthma
CONTENTS Rapid Reference 🚀 Non-intubated asthmatic 🚀 Intubated asthmatic 🚀 Initial evaluation Asthma exacerbation diagnosis Risk stratification Non-intubated patients Inhaled bronchodilators Systemic bronchodilators Noninvasive ventilation (BiPAP) Sedation strategies Dexmedetomidine IV haloperidol/droperidol Benzodiazepines Opioids Ketamine Unable to tolerate BiPAP: Heliox vs. HFNC Steroid Other medications Evaluation & goals Beware of asthma treatment pseudofailure Intubation Indications for […]
- « Previous Page
- 1
- …
- 10
- 11
- 12
- 13
- 14
- 15
- Next Page »