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NephroPOCUS

@NephroP

, 10 tweets, 4 min read

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One of the key advantages of doing #POCUS is we know when to avoid unnecessary/ 'empiric' iv fluid administration. Almost every organ suffers from the pathologic sequelae of fluid overload. Take a look here in this thread 👇 #IMPOCUS #MedEd

Lung
*Note B-lines on #POCUS can detect asymptomatic lung congestion

Heart

Brain

Liver

Kidney #nephrology
Probably commonest reason to administer 'empiric' iv fluids is renal failure, which does more harm than good if AKI is due to fluid overload.

Gut is not spared either 😓

#Skin is no exception

Take home point 👇

Use these drugs thoughtfully

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Pitt Internal Medicine Point of Care Ultrasound

@PittIMPOCUS

@MikeTao15

1/
Happy Monday everyone! We have a special case for you today written by UPMC PGY2 #POCUS enthusiast @MikeTao15.

A 52 yo M with hx of EtOH/HCV cirrhosis, VTE on Eliquis, HFrEF presents w worsening abd distention and pain. He is disoriented and unable to give much history.

2/
Cirrhosis previously complicated by esophageal varices, hepatic encephalopathy, and ascites. No follow up since last hospital admission at outside facility ~1 year ago. Has not been taking meds.

Vitals in the ED: Temp 38.1, HR 90, BP 98/70, Pulse Ox 96% on 2L

3/
He is lethargic, arousable to voice and oriented to self only
+scleral icterus
Cardiac + pulmonary exams normal
Abdomen distended, diffusely tender, no rebound/guarding
2+ b/l edema to thighs
Jaundiced, scattered ecchymoses
+asterixis

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Michael McKenzie

@SegaJunkie

@GamesDoneQuick

To celebrate the impending 10th anniversary of @GamesDoneQuick , I've taken the liberty of compiling a list of 100 of the best runs showcased throughout its history. I'll be adding one run to this thread every day until the 1st of January, which marks ten years to the day.

Some caveats:
* No, these aren't literally the best 100 runs. How do you even measure that? But they're all runs I think leave their impact on the event's history.
* Obviously I haven't picked any of my own runs - but there are some I commentated on, and felt privileged to do so.

* I've got at least one run in here from all 20 live events to date - CGDQ, all 9 editions of AGDQ and SGDQ, and last year's GDQx. No JRDQ or HRDQ, sorry!

Also I won't be adding anything from the upcoming GDQx, which is this weekend, but you obviously should watch that anyway!

Read 691 tweets

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