Macrocytosis has a large differential diagnosis. One cause is an elevated retic count. An important clue in the CBC is a reduction in the MCHC since retics start off with a lower-than-normal MCHC, which then normalizes as they mature into smaller RBCs. #Hematology#Blood
Don't be ~para~lyzed by ~para~proteinemia!
#Medtwitter, check out this AMAZING video & schema on an approach to paraproteinemia!
Find the video here: https://t.co/ZyO3wcL7pV
And the schema on the app here: https://t.co/8ZbwOYpryX
2. A sustained rise in jugular venous pressure of >3 cm lasting more than 10 to 15 seconds while abdominal pressure is continuously applied, is highly suggestive of elevated wedge pressure >15 mm Hg. See associated video.
@ajay_mohinani I think intern year is as much about learning the health system as learning pt management. Collect that SW, consultant, and attg contact info! Know who to call to get that STAT PICC line. #ACPaskaresident