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josh farkas 💊
@PulmCrit
, 6 tweets, 5 min read Read on Twitter
GI ultrasound by @kyliebaker888
- occasional sampling
-@kylebaker888 at #HRmed19
small bowel:
- dilated, thick wall: enteritis?
- dilated, thin wall: obstruction? ischemia?
-@kylebaker888 at #HRmed19
colon:
-left: dilation; ? obstruction
-right: ischemic colitis: thick wall, small lumen
-@kylebaker888 at #HRmed19
window thru bladder to see the rectum (sonographers digital rectal exam)
- right: dilation of rectum
-@kylebaker888 at #HRmed19
*pattern* of numerous pathologic findings may point to a diagnosis
-@kylebaker888 at #HRmed19
- for free air: roll pt left side down and look for air near liver
- perforated diverticulum with numerous secondary signs of pathology
-@kylebaker888 at #HRmed19
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josh farkas 💊
@PulmCrit
-for stable patient dont transfuse unless hemiglobin <7 (possibly 8 in acute coronary syndrome)
-give in single units to avoid overshoot
- platlet transfusion target of 10 in absence of bleeding
- avoid platelets in HITT and TTP
-Lissa Ajjamada at #HRmed19
- dose ffp around 3-5 units
- will never get normal INR!
- avoid FFP as prophylaxis before low-risk procedures
-Lissa Ajjamada at #HRmed19
Read 11 tweets

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