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An excellent summary of Extracorporeal Membrane Oxygenation (ECMO) in @zummie's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: https://t.co/31nUGOUKLm
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Contraindications to ECMO include irreversible processes such as metastatic cancer, active bleeding, aortic insufficiency (for peripheral venoarterial only), and cases of contraindications to anticoagulation (aneurysms, bleeding disorders, and strokes).
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Extracorporeal Membrane Oxygenation (ECMO): Considered for conditions that are severe but reversible. Two types: Venovenous (yellow) is indicated for respiratory failure (ARDS or COVID) and venoarterial (orange) indicated for cardiopulmonary failure (PE, cardiogenic shock, ACS)
An excellent summary of left-sided ductal-dependent congenital heart disease in @zummie's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: https://t.co/31nUGOUKLm #EMboards#emergencymedicine#MyEMCert#MedTwitter
Left-Sided Ductal Dependent CHD: Presents 1-2 weeks after ductus arteriosus closes w/ poor feeding, lethargy, irritability, and eventually shock. Hypoplastic left heart presents w/ cyanosis while critical aortic stenosis & coarctation of the aorta are acyanotic.
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A wonderful summary of Candida vaginitis in @zummie's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: https://t.co/31nUGOUKLm
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A 35 yo M comes in to the ED with profound respiratory distress. Hx of asthma. EMS neb is misting into the room, almost no movement of neb with pt's breath 😬
What do you do? A 🧵1/5
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A wonderful summary of Ankylosing Spondylitis in @zummie's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: https://t.co/31nUGOUKLm
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This week's topic: Ankylosing spondylitis. Commonly seen in young adult males presenting w/ back pain w/ morning stiffness for >3 months, fatigue, and impaired visual acuity/eye pain. Bilateral SI joint sclerosis (yellow arrow) and "bamboo spine" (blue) seen on x-ray
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An outstanding summary of Kawasaki syndrome in @zummie's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: https://t.co/2GleHuGG9w #EMboards#emergencymedicine#MyEMCert#MedTwitter
Kawasaki syndrome (cont'): Labs will show elevated LFTs, ESR/CRP, WBC, and Platelets. Manage w/ IVIG + high dose aspirin (80-100 mg/kg/day). Most cases are self-limited within 4 weeks while 20% of cases have complications (coronary artery aneurysms)
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This week's topic: Kawasaki syndrome. A pediatric medium vessel vasculitis. Diagnosis includes 5 days of fever and 4+ symptoms of bilateral conjunctivitis, rash on palms & soles, cervical adenopathy, strawberry tongue, and hand/foot swelling
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An excellent summary of left ventricular assist device in @zummie's infographic. To find more infographics, questions AND a review book and lecture series visit EM Coach: https://t.co/2GleHuHdZ4
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This week's topic: Left Ventricular Assist Device. Complication of hemorrhage is the most common reason for ED visit. DO NOT reverse anti-coagulation. LVADs are preload depended so manage hypovolemia appropriately.
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This week's topic: Tubo-ovarian abscess. A complication of PID that presents with unilateral adnexal pain, purulent vaginal discharge, and fever. Dx with ultrasound or CT of abdomen/pelvis which shows the abscess (yellow arrow)
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This week's topic: Supraventricular tachycardia. Abrupt onset due to triggers such as stimulants, exercise, emotional stress, or metabolic conditions. Dx w/ EKG showing narrow QRS (blue), no P waves (green), and regular tachycardia (red).
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