One of the most requested teaching topics I get from trainees on our medical wards is cirrhosis and liver disease 🩸
Which is understandable - this is an intimidating topic for many learners, as there are so many layers of complexity to consider 🤔
Here's part 1 (of several to come!) of my cirrhosis tips and tricks: a short 🧵
Highly, highly recommended. This was a great listen - loved heard the dissection of the trial and the new questions generated by this discussion.
@edu_kattan@AndromedaShock@emcrit
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
Cirrhosis tips and tricks part 2: Decompensating events
high yield infographic alert 🚨🔔‼️
These are what bring folks into hospital 🏩; and there are a few nuances here to unpack 🧵
New on our @ubcimpocus page: handy procedural
and POCUS consult checklists to serve as on-the-go resources for trainees. Formatted in easy-to-screenshot sizes.
Please use/share if they are helpful! Also found here: https://t.co/qh039oPaet
Attempting to measure respiratory variations of transvalvular flow for a patient with a moderate sized pericardial effusion - so cool to assess tamponade physiology in real-time. Have learned an incredible amount on my @ubcimpocus elective - can't recommend it enough!
#POCUS puzzle! 🤓
Can you come up with a unifying diagnosis for these 2 seemingly unrelated POCUS images? (From the same patient)
Answer to come tomorrow! 😉
Potential downsides/reasons to avoid:
- excessive vasoconstriction can lead to necrosis in areas with poor perfusion*
- often avoided for neuraxial procedures like LP; however epi is used in the anesthesia world for intrathecal and epidural anesthesia
https://t.co/Q6UBarmgXE
*It used to be maxim that epi should be avoided certain areas: digits, nose, penis, etc. However, this has likely overblown; and epi can likely be added except in areas that may have compromised perfusion for other reasons (ie severe PAD)
https://t.co/EvL4VzvBgo
Huge day for our @ubcimpocus program - finally, a dedicated #POCUS archiving system! 🙌🙌🙌
(Let’s not talk about how nuts it was that we didn’t have one before this 🤦🏼♀️)
Thanks to @VCHhealthcare, @CANHealthNtwrk, and @e_qpath for making this happen.
@shanearish - we did it!
#POCUS case! One of the best in a while.
50M, Hx HTN only. Comes in after travelling to a tropical country 2 weeks ago. Started having watery diarrhea at the end of the trip, as did his companions. Now also RUQ pain. No chest pain, SOB, cardiac Sx.
Our latest screencast: learn the game-changing skill of lung ultrasound in this 25-minute screencast from our own Katie Wiskar.
It's a basic application with a lot of nuance, so it's worth spending some time to get it right! #POCUS#FOAMed#ultrasound
https://t.co/BUIEUcDvz5