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Massive variceal bleed and no EGD at your hospital?
Be ready to place a blakemore/balloon tamponade device in uncontrolled variceal hemorrhage.
Tips from prior cases
#foamcc
#foammed
Be ready to place a blakemore/balloon tamponade device in uncontrolled variceal hemorrhage.
Tips from prior cases
#foamcc
#foammed
After ABC's...
1. Place the device like an OG
2. Check position by xray (may need little air ~50 ml in balloon to see)
3. Inflate gastric balloon with ~ 250 mL air
4. X ray
Don't over inflate
👇
Image: overinflated and improperly positioned causing gastric distension 😯
1. Place the device like an OG
2. Check position by xray (may need little air ~50 ml in balloon to see)
3. Inflate gastric balloon with ~ 250 mL air
4. X ray
Don't over inflate
👇
Image: overinflated and improperly positioned causing gastric distension 😯
Deflated & repositioned w/ balloon at the GE junction to tamponade the variceal origins
Apply light traction w/ kerlix->IV pull->1 L fluid
Apply light traction w/ kerlix->IV pull->1 L fluid
Wet Read Case 33
Special case for hitting 1000 followers! Thank you all!
Hx: abdominal pain
Any past medical hx? Diagnosis?
Professional gif responses only please. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @RyanBPetersonMD
Special case for hitting 1000 followers! Thank you all!
Hx: abdominal pain
Any past medical hx? Diagnosis?
Professional gif responses only please. No spoilers! wetread.org #WetreadCow #FOAMrad #FOAMed #radres #errad #bodyrad @RyanBPetersonMD
Another view may be helpful.
Hoping everyone is safe and healthy!
@StefanTigges @ER_Rad_Hanna @AdamSingerMD
Hoping everyone is safe and healthy!
@StefanTigges @ER_Rad_Hanna @AdamSingerMD
I think this is a tough one especially without windowing/leveling but what or should I say where is the abnormality?
Lots of high density material right? But hopefully these images show you that this material is NOT within the GI tract.
So what it is?
Lots of high density material right? But hopefully these images show you that this material is NOT within the GI tract.
So what it is?
14/Friends, it's time for part 2 of this case tweetorial.
Make sure to check out #1-14 before you move on. #medtwitter #foammed
Make sure to check out #1-14 before you move on. #medtwitter #foammed
15/Based on the hypertension, proteinuria, and pathology demonstrating characteristic vascular changes on biopsy, coupled with sclerodactyly and raynaud’s, she was diagnosed with scleroderma renal crisis (SRC). Check out this illness script for scleroderma:clinicalproblemsolving.com/wp-content/upl…
16/SCR is a severe and life-threatening renal complication occurring in ~ 5-10% of patient with systemic sclerosis. It is most common in patients with diffuse cutaneous systemic sclerosis.
